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He F, Yu X, Zhang J, Cui J, Tang L, Zou S, Pu J, Ran P. Biomass-related PM 2.5 induced inflammatory microenvironment via IL-17F/IL-17RC axis. ENVIRONMENTAL POLLUTION (BARKING, ESSEX : 1987) 2024; 342:123048. [PMID: 38036089 DOI: 10.1016/j.envpol.2023.123048] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/20/2023] [Revised: 10/13/2023] [Accepted: 11/23/2023] [Indexed: 12/02/2023]
Abstract
Biomass exposure is a significant environmental risk factor for COPD, but the underlying mechanisms have not yet been fully elucidated. Inflammatory microenvironment has been shown to drive the development of many chronic diseases. Pollution exposure can cause increased levels of inflammatory factors in the lungs, leading to an inflammatory microenvironment which is prevalent in COPD. Our findings revealed that IL-17F was elevated in COPD, while exposure to biomass led to increased expression of IL-17F in both alveolar epithelial and macrophage cells in mice. Blocking IL-17F could alleviate the lung inflammation induced by seven days of biomass exposure in mice. We employed a transwell co-culture system to simulate the microenvironment and investigate the interactions between MLE-12 and MH-S cells. We demonstrated that anti-IL-17F antibody attenuated the inflammatory responses induced by BRPM2.5 in MLE-12 and MH-S co-cultured with BRPM2.5-MLE-12, which reduced inflammatory changes in microenvironment. We found that IL-17RC, an important receptor for IL-17F, played a key role in the interactions. Knockout of IL-17RC in MH-S resulted in inhibited IL-17F signaling and attenuated inflammatory response after MH-S co-culture with BRPM2.5-MLE-12. Our investigation suggests that BRPM2.5 induces lung epithelial-macrophage interactions via IL-17F/IL-17RC axis regulating the inflammatory response. These results may provide a novel strategy for effective prevention and treatment of biomass-related COPD.
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Affiliation(s)
- Fang He
- School of Basic Medical Sciences, Guangzhou Medical University, Guangzhou, Guangdong, 510000, China; State Key Laboratory of Respiratory Diseases, National Clinical Research Center for Respiratory Diseases, Guangzhou Institute of Respiratory Health, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong, 510000, China
| | - Xiaoyuan Yu
- School of Basic Medical Sciences, Guangzhou Medical University, Guangzhou, Guangdong, 510000, China
| | - Jiahuan Zhang
- State Key Laboratory of Respiratory Diseases, National Clinical Research Center for Respiratory Diseases, Guangzhou Institute of Respiratory Health, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong, 510000, China
| | - Jieda Cui
- State Key Laboratory of Respiratory Diseases, National Clinical Research Center for Respiratory Diseases, Guangzhou Institute of Respiratory Health, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong, 510000, China; Guangzhou National Laboratory, No.9 XingDaoHuanBei Road, Guangzhou International BioIsland, Guangzhou, Guangdong, 510000, China
| | - Lei Tang
- School of Basic Medical Sciences, Guangzhou Medical University, Guangzhou, Guangdong, 510000, China
| | - Siqi Zou
- School of Basic Medical Sciences, Guangzhou Medical University, Guangzhou, Guangdong, 510000, China
| | - Jinding Pu
- Department of Pulmonary and Critical Care Medicine, The Third Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong, 510000, China
| | - Pixin Ran
- State Key Laboratory of Respiratory Diseases, National Clinical Research Center for Respiratory Diseases, Guangzhou Institute of Respiratory Health, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong, 510000, China; Guangzhou National Laboratory, No.9 XingDaoHuanBei Road, Guangzhou International BioIsland, Guangzhou, Guangdong, 510000, China.
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Natarajan S, Mukhopadhyay K, Thangaswamy D, Natarajan A, Chakraborty D. Influence of indoor volatile organic compounds and its relative respiratory effects among children living in rural biomass cooking households of Tamil Nadu and Andhra Pradesh. Int Arch Occup Environ Health 2023; 96:1183-1201. [PMID: 37466701 DOI: 10.1007/s00420-023-01998-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2023] [Accepted: 07/08/2023] [Indexed: 07/20/2023]
Abstract
PURPOSE Exposures to volatile organic compounds (VOCs) cause respiratory symptoms among children, a known vulnerable group. Reports on exposures to VOCs and respiratory symptoms among South Indian children living in biomass-using households are not available thus far. METHODS A cross-sectional study was conducted among 313 rural children to assess the influence of emitted VOCs on their respiratory health. Standard analytical procedures for VOCs and Pulmonary Function Test (PFT), allied questionnaires, and all ethical considerations were fulfilled in the study. RESULTS The increase in VOC concentrations was observed proportional to the amount of burnt biomass fuel in two selected sites in Tamil Nadu (TN) and Andhra Pradesh (AP). Houses cooked for more than 60 min showed a remarkable increase in VOC concentrations and was observed as statistically significant (p < 0.01) in AP households. Among the younger children, the peak expiratory flow rate (PEFR) values were found significantly higher than comparatively older children in both the sites, TN and AP. However, the trend with respect to FEV1 is statistically significant (p < 0.01) among AP children. CONCLUSIONS This study reports reduced lung function for a considerable proportion of the VOC-exposed selected children. Based on PFT, the children who were interpreted to be normal were found to be exposed to lesser indoor TVOC concentrations in comparison with the children of the households having restrictive or obstructive impairments. Diagnostic ratios with Benzene/Toluene (B/T) and Xylene/Ethyl benzene (X/E) confirmed the presence of VOCs-emissions from adjacent cooking fuels only. The observed results of this study recommends cleaner cooking fuel-use for better respiratory health among the citizens across the country, which in turn, in line with the Pradhan Mantri Ujjwala Yojana (PMUY), Government of India.
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Affiliation(s)
- Srinivasan Natarajan
- Department of Environmental Health Engineering, Faculty of Public Health, Sri Ramachandra Institute of Higher Education and Research (DU), Porur, Chennai, 600 116, India
| | - Krishnendu Mukhopadhyay
- Department of Environmental Health Engineering, Faculty of Public Health, Sri Ramachandra Institute of Higher Education and Research (DU), Porur, Chennai, 600 116, India.
| | - Dhanasekaran Thangaswamy
- Department of Pulmonology, Chest Medicine, Sri Ramachandra Institute of Higher Education and Research (DU), Porur, Chennai, 600 116, India
| | - Amudha Natarajan
- Department of Environmental Health Engineering, Faculty of Public Health, Sri Ramachandra Institute of Higher Education and Research (DU), Porur, Chennai, 600 116, India
| | - Deep Chakraborty
- Department of Environmental Health Engineering, Faculty of Public Health, Sri Ramachandra Institute of Higher Education and Research (DU), Porur, Chennai, 600 116, India
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Dilger M, Armant O, Ramme L, Mülhopt S, Sapcariu SC, Schlager C, Dilger E, Reda A, Orasche J, Schnelle-Kreis J, Conlon TM, Yildirim AÖ, Hartwig A, Zimmermann R, Hiller K, Diabaté S, Paur HR, Weiss C. Systems toxicology of complex wood combustion aerosol reveals gaseous carbonyl compounds as critical constituents. ENVIRONMENT INTERNATIONAL 2023; 179:108169. [PMID: 37688811 DOI: 10.1016/j.envint.2023.108169] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/28/2022] [Revised: 07/19/2023] [Accepted: 08/22/2023] [Indexed: 09/11/2023]
Abstract
Epidemiological studies identified air pollution as one of the prime causes for human morbidity and mortality, due to harmful effects mainly on the cardiovascular and respiratory systems. Damage to the lung leads to several severe diseases such as fibrosis, chronic obstructive pulmonary disease and cancer. Noxious environmental aerosols are comprised of a gas and particulate phase representing highly complex chemical mixtures composed of myriads of compounds. Although some critical pollutants, foremost particulate matter (PM), could be linked to adverse health effects, a comprehensive understanding of relevant biological mechanisms and detrimental aerosol constituents is still lacking. Here, we employed a systems toxicology approach focusing on wood combustion, an important source for air pollution, and demonstrate a key role of the gas phase, specifically carbonyls, in driving adverse effects. Transcriptional profiling and biochemical analysis of human lung cells exposed at the air-liquid-interface determined DNA damage and stress response, as well as perturbation of cellular metabolism, as major key events. Connectivity mapping revealed a high similarity of gene expression signatures induced by wood smoke and agents prompting DNA-protein crosslinks (DPCs). Indeed, various gaseous aldehydes were detected in wood smoke, which promote DPCs, initiate similar genomic responses and are responsible for DNA damage provoked by wood smoke. Hence, systems toxicology enables the discovery of critical constituents of complex mixtures i.e. aerosols and highlights the role of carbonyls on top of particulate matter as an important health hazard.
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Affiliation(s)
- Marco Dilger
- HICE - Helmholtz Virtual Institute of Complex Molecular Systems in Environmental Health - Aerosols and Health, Germany(1); Institute of Biological and Chemical Systems, Biological Information Processing, Karlsruhe Institute of Technology, Campus North, Eggenstein-Leopoldshafen, Germany
| | - Olivier Armant
- Institute of Biological and Chemical Systems, Biological Information Processing, Karlsruhe Institute of Technology, Campus North, Eggenstein-Leopoldshafen, Germany; Institut de Radioprotection et de Sureté Nucléaire (IRSN), PSE-ENV/SRTE/LECO, Cadarache, Saint-Paul-lez-Durance 13115, France
| | - Larissa Ramme
- HICE - Helmholtz Virtual Institute of Complex Molecular Systems in Environmental Health - Aerosols and Health, Germany(1); Institute of Biological and Chemical Systems, Biological Information Processing, Karlsruhe Institute of Technology, Campus North, Eggenstein-Leopoldshafen, Germany
| | - Sonja Mülhopt
- HICE - Helmholtz Virtual Institute of Complex Molecular Systems in Environmental Health - Aerosols and Health, Germany(1); Institute for Technical Chemistry, Karlsruhe Institute of Technology, Campus North, Eggenstein-Leopoldshafen, Germany
| | - Sean C Sapcariu
- HICE - Helmholtz Virtual Institute of Complex Molecular Systems in Environmental Health - Aerosols and Health, Germany(1); Luxembourg Centre for Systems Biomedicine, University of Luxembourg, L-4362 Esch-Belval, Luxembourg
| | - Christoph Schlager
- HICE - Helmholtz Virtual Institute of Complex Molecular Systems in Environmental Health - Aerosols and Health, Germany(1); Institute for Technical Chemistry, Karlsruhe Institute of Technology, Campus North, Eggenstein-Leopoldshafen, Germany
| | - Elena Dilger
- Institute of Applied Biosciences, Department of Food Chemistry and Toxicology, Karlsruhe Institute of Technology (KIT), Karlsruhe, Germany
| | - Ahmed Reda
- HICE - Helmholtz Virtual Institute of Complex Molecular Systems in Environmental Health - Aerosols and Health, Germany(1); Joint Mass Spectrometry Centre, Chair of Analytical Chemistry, Institute of Chemistry, University Rostock, Germany; Joint Mass Spectrometry Centre, CMA - Comprehensive Molecular Analytics, Helmholtz Zentrum München, Neuherberg, Germany
| | - Jürgen Orasche
- HICE - Helmholtz Virtual Institute of Complex Molecular Systems in Environmental Health - Aerosols and Health, Germany(1); Joint Mass Spectrometry Centre, Chair of Analytical Chemistry, Institute of Chemistry, University Rostock, Germany; Joint Mass Spectrometry Centre, CMA - Comprehensive Molecular Analytics, Helmholtz Zentrum München, Neuherberg, Germany
| | - Jürgen Schnelle-Kreis
- HICE - Helmholtz Virtual Institute of Complex Molecular Systems in Environmental Health - Aerosols and Health, Germany(1); Joint Mass Spectrometry Centre, CMA - Comprehensive Molecular Analytics, Helmholtz Zentrum München, Neuherberg, Germany
| | - Thomas M Conlon
- Institute of Lung Health and Immunity (LHI), Comprehensive Pneumology Center (CPC), Helmholtz Zentrum München, Member of the German Center for Lung Research (DZL), Neuherberg, Germany
| | - Ali Önder Yildirim
- HICE - Helmholtz Virtual Institute of Complex Molecular Systems in Environmental Health - Aerosols and Health, Germany(1); Institute of Lung Health and Immunity (LHI), Comprehensive Pneumology Center (CPC), Helmholtz Zentrum München, Member of the German Center for Lung Research (DZL), Neuherberg, Germany
| | - Andrea Hartwig
- Institute of Applied Biosciences, Department of Food Chemistry and Toxicology, Karlsruhe Institute of Technology (KIT), Karlsruhe, Germany
| | - Ralf Zimmermann
- HICE - Helmholtz Virtual Institute of Complex Molecular Systems in Environmental Health - Aerosols and Health, Germany(1); Joint Mass Spectrometry Centre, Chair of Analytical Chemistry, Institute of Chemistry, University Rostock, Germany; Joint Mass Spectrometry Centre, CMA - Comprehensive Molecular Analytics, Helmholtz Zentrum München, Neuherberg, Germany
| | - Karsten Hiller
- HICE - Helmholtz Virtual Institute of Complex Molecular Systems in Environmental Health - Aerosols and Health, Germany(1); Luxembourg Centre for Systems Biomedicine, University of Luxembourg, L-4362 Esch-Belval, Luxembourg
| | - Silvia Diabaté
- HICE - Helmholtz Virtual Institute of Complex Molecular Systems in Environmental Health - Aerosols and Health, Germany(1); Institute of Biological and Chemical Systems, Biological Information Processing, Karlsruhe Institute of Technology, Campus North, Eggenstein-Leopoldshafen, Germany
| | - Hanns-Rudolf Paur
- HICE - Helmholtz Virtual Institute of Complex Molecular Systems in Environmental Health - Aerosols and Health, Germany(1); Institute for Technical Chemistry, Karlsruhe Institute of Technology, Campus North, Eggenstein-Leopoldshafen, Germany
| | - Carsten Weiss
- Institute of Biological and Chemical Systems, Biological Information Processing, Karlsruhe Institute of Technology, Campus North, Eggenstein-Leopoldshafen, Germany.
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Singh K, Mavi AK, Nagar JK, Kumar M, Spalgais S, Nagaraja R, Kumar R. Quantification of Indoor Respirable Suspended Particulate Matters (RSPM) and Asthma in Rural Children of Delhi-NCR. Indian J Pediatr 2023; 90:860-866. [PMID: 36264412 DOI: 10.1007/s12098-022-04355-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/15/2022] [Accepted: 07/29/2022] [Indexed: 11/05/2022]
Abstract
OBJECTIVES To assess the exposure of indoor respirable suspended particulate matters (PM10, PM2.5, and PM1) and their association with asthma in children in a rural area of Delhi-NCR. METHODS It was a cross-sectional study. Fifty children with asthma from both biomass fuel users in group A and liquefied petroleum gas (LPG) fuel users in group B households were enrolled along with 50 healthy control subjects. The diagnosis of asthma was done as per the Global Initiative for Asthma (GINA), 2014. The 24-h levels of PM from all three groups of households were measured and compared. The level of PM with confounding factors like smoking and room occupancy was also compared between the groups. RESULTS The 24-h concentrations of PM10, PM2.5, and PM1 were found significantly higher in the households of group A and group B as opposed to group C (p < 0.001). The number of smokers with a mean pack year and a lack of an exhaust fan was highest in group A and lowest in group C, while diesel and kerosene machines were highest in group B. The PMs were highest in group A even with different confounding factor (p < 0.001). The level of all PM was higher in group B than in group C, despite the presence of both types of fuel in group C households. The level of all PM was highest during the cooking hour. CONCLUSION The level of 24-h PM was highest in group-A households. However, the level of PM was higher in group-B households than group C despite the presence of biomass fuel users in group C. This may be due to the higher number of smokers, poor room-occupancy and lack of exhaust fans.
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Affiliation(s)
- Kamal Singh
- Department of Pulmonary Medicine, Vallabhbhai Patel Chest Institute, University of Delhi, Delhi, India
| | - Anil Kumar Mavi
- Department of Pulmonary Medicine, Vallabhbhai Patel Chest Institute, University of Delhi, Delhi, India
| | - Jitendra Kumar Nagar
- Department of Pulmonary Medicine, Vallabhbhai Patel Chest Institute, University of Delhi, Delhi, India
| | - Manoj Kumar
- Department of Pulmonary Medicine, Vallabhbhai Patel Chest Institute, University of Delhi, Delhi, India
| | - Sonam Spalgais
- Department of Pulmonary Medicine, Vallabhbhai Patel Chest Institute, University of Delhi, Delhi, India
| | - Ravishankar Nagaraja
- Department of Biostatistics, Vallabhbhai Patel Chest Institute, University of Delhi, Delhi, India
| | - Raj Kumar
- Department of Pulmonary Medicine, Vallabhbhai Patel Chest Institute, University of Delhi, Delhi, India.
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5
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Mechanisms of Lung Damage and Development of COPD Due to Household Biomass-Smoke Exposure: Inflammation, Oxidative Stress, MicroRNAs, and Gene Polymorphisms. Cells 2022; 12:cells12010067. [PMID: 36611860 PMCID: PMC9818405 DOI: 10.3390/cells12010067] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2022] [Revised: 12/12/2022] [Accepted: 12/13/2022] [Indexed: 12/28/2022] Open
Abstract
Chronic exposure to indoor biomass smoke from the combustion of solid organic fuels is a major cause of disease burden worldwide. Almost 3 billion people use solid fuels such as wood, charcoal, and crop residues for indoor cooking and heating, accounting for approximately 50% of all households and 90% of rural households globally. Biomass smoke contains many hazardous pollutants, resulting in household air pollution (HAP) exposure that often exceeds international standards. Long-term biomass-smoke exposure is associated with Chronic Obstructive Pulmonary Disease (COPD) in adults, a leading cause of morbidity and mortality worldwide, chronic bronchitis, and other lung conditions. Biomass smoke-associated COPD differs from the best-known cigarette smoke-induced COPD in several aspects, such as a slower decline in lung function, greater airway involvement, and less emphysema, which suggests a different phenotype and pathophysiology. Despite the high burden of biomass-associated COPD, the molecular, genetic, and epigenetic mechanisms underlying its pathogenesis are poorly understood. This review describes the pathogenic mechanisms potentially involved in lung damage, the development of COPD associated with wood-derived smoke exposure, and the influence of genetic and epigenetic factors on the development of this disease.
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6
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McCarthy CE, Duffney PF, Nogales A, Post CM, Lawrence BP, Martinez-Sobrido L, Thatcher TH, Phipps RP, Sime PJ. Dung biomass smoke exposure impairs resolution of inflammatory responses to influenza infection. Toxicol Appl Pharmacol 2022; 450:116160. [PMID: 35817128 PMCID: PMC10211473 DOI: 10.1016/j.taap.2022.116160] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2022] [Revised: 07/01/2022] [Accepted: 07/05/2022] [Indexed: 01/26/2023]
Abstract
Epidemiological studies associate biomass smoke with an increased risk for respiratory infections in children and adults in the developing world, with 500,000 premature deaths each year attributed to biomass smoke-related acute respiratory infections including infections caused by respiratory viruses. Animal dung is a biomass fuel of particular concern because it generates more toxic compounds per amount burned than wood, and is a fuel of last resort for the poorest households. Currently, there is little biological evidence on the effects of dung biomass smoke exposure on immune responses to respiratory viral infections. Here, we investigated the impact of dung biomass exposure on respiratory infection using a mouse model of dung biomass smoke and cultured primary human small airway epithelial cells (SAECs). Mice infected with influenza A virus (IAV) after dung biomass smoke exposure had increased mortality, lung inflammation and virus mRNA levels, and suppressed expression of innate anti-viral mediators compared to air exposed mice. Importantly, there was still significant tissue inflammation 14 days after infection in dung biomass smoke-exposed mice even after inflammation had resolved in air-exposed mice. Dung biomass smoke exposure also suppressed the production of anti-viral cytokines and interferons in cultured SAECs treated with poly(I:C) or IAV. This study shows that dung biomass smoke exposure impairs the immune response to respiratory viruses and contributes to biomass smoke-related susceptibility to respiratory viral infections, likely due to a failure to resolve the inflammatory effects of biomass smoke exposure.
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Affiliation(s)
| | - Parker F Duffney
- United States Environmental Protection Agency, Integrated Health Assessment Branch, Research Triangle Park, NC, USA
| | - Aitor Nogales
- Centro de Investigación en Sanidad Animal (CISA), INIA-CSIC, Madrid, Spain
| | - Christina M Post
- Department of Environmental Medicine, University of Rochester, Rochester NY, New York, United States
| | - B Paige Lawrence
- Department of Environmental Medicine, University of Rochester, Rochester NY, New York, United States
| | | | - Thomas H Thatcher
- Division of Pulmonary Disease and Critical Care Medicine, Department of Internal Medicine, Virginia Commonwealth University, Richmond, VA, USA
| | | | - Patricia J Sime
- Division of Pulmonary Disease and Critical Care Medicine, Department of Internal Medicine, Virginia Commonwealth University, Richmond, VA, USA.
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Chowdhury M, Ghosh S, Padhy PK. Effects of indoor air pollution on tribal community in rural India and health risk assessment due to domestic biomass burning: a realistic approach using the lung deposition model. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2022; 29:59606-59618. [PMID: 35391641 DOI: 10.1007/s11356-022-19973-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/18/2022] [Accepted: 03/25/2022] [Indexed: 06/14/2023]
Abstract
Indoor air pollution from the combustion of biomass fuel and associated health risks is a critical issue in developing countries. Concentrations of PM2.5 and PM10 are measured in Birbhum, West Bengal, during 2017-2018. PM2.5-bound elemental concentrations of twelve metals are determined in rural kitchens. The results showed higher toxicological risks in BMF (1.15) than the LPG users (0.14). The risk of non-carcinogenic exposure related with dermal contact and ingestion was observed in the acceptable limits (HQ < 1) for all age groups, and the risk associated with inhalation exposure from Cr, Ni, As, and Mn exceeded the acceptable limit. Results also suggest that carcinogenic risks from ingestion and dermal contact are within the acceptable limit (1 × 10-4-1 × 10-6) except Cr and As which were found to exceed the range. The deposition flux (Dφ) for multiple metals in the head airway region, tracheobronchial region, and alveolar regions was found to be higher in teenagers as compared to other groups, whereas the value was lower in infants. Further, it was notified from the Dφ that the metals could pass through the head airways and harm the tracheobronchial tree and alveolar region, increasing the risk of human health.
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Affiliation(s)
- Mallika Chowdhury
- Department of Environmental Studies, Institute of Science (Siksha Bhavana), Visva-Bharati, Santiniketan, - 731235, West Bengal, India
| | - Suraj Ghosh
- Department of Environmental Studies, Institute of Science (Siksha Bhavana), Visva-Bharati, Santiniketan, - 731235, West Bengal, India
| | - Pratap Kumar Padhy
- Department of Environmental Studies, Institute of Science (Siksha Bhavana), Visva-Bharati, Santiniketan, - 731235, West Bengal, India.
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Afrane S, Ampah JD, Mensah EA. Visualization and analysis of mapping knowledge domains for the global transition towards clean cooking: a bibliometric review of research output from 1990 to 2020. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2022; 29:23041-23068. [PMID: 34797544 DOI: 10.1007/s11356-021-17340-6] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/04/2021] [Accepted: 10/29/2021] [Indexed: 06/13/2023]
Abstract
Current statistics report that 2.6 billion households across the globe rely on polluting and inefficient cooking fuels and technologies, posing death-threatening health risks to people mainly from developing countries/regions. Several studies on clean cooking have been conducted with the emergence of international organizations such as the Clean Cooking Alliance to raise awareness. In the current study, a bibliometric tool, CiteSpace, was employed to analyze the 877 documents retrieved from the SCI-EXPANDED, SSCI, and A&HCI databases on clean cooking research from 1990 to 2020. The results reveal that interest in clean cooking research took a sharp rise in the last decade, especially after 2016. The research field has become increasingly interdisciplinary but has mostly centered on environment, energy, and health. The most productive countries/regions in this field are the USA, India, England, and China. The keyword and citation analyses indicate that research in this field mostly focuses on adverse impacts of household air pollution from unclean cooking fuels and technologies on the environment and public health particularly, in developing countries/regions. Also, the drivers and barriers to the large-scale adoption of clean cooking fuels and technologies have become a topic of interest in recent years. The three most studied clean cooking fuels among various regions are LPG, biogas, and electricity. This study synthesizes global research on clean cooking and may be beneficial to other researchers in understanding current trends in this field and serve as a guide for concentrating on the most important topics.
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Affiliation(s)
- Sandylove Afrane
- School of Environmental Science and Engineering, Tianjin University, Tianjin, 300072, China
| | - Jeffrey Dankwa Ampah
- School of Environmental Science and Engineering, Tianjin University, Tianjin, 300072, China.
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Effects of Indoor Air Pollution on the Development of Children under Five Years of Age in Sri Lanka. ATMOSPHERE 2022. [DOI: 10.3390/atmos13040509] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Air pollution is a multifaceted environmental toxin affecting the Central Nervous System (CNS) through diverse pathways. The CNS of young children is particularly susceptible to the detrimental effects of toxins, as brain development continues postnatally with the formation of interneuronal connections, glial cell proliferation and myelination of axons. Indoor air pollution (IAP) from solid fuel combustion is more harmful than outdoor air pollution. Numerous air pollutants hazardous to health are released during the burning of unprocessed biomass. The primary source of fuel in Sri Lanka for cooking is biomass, mainly wood. In this study, we evaluated the influence of IAP resulting from biomass combustion on the neurodevelopment of children. In a cohort of children under five years living in a semi-urban area of Sri Lanka, neurodevelopment was assessed using Denver II developmental screening test. Air quality levels were measured (Carbon Monoxide (CO) and Particulate Matter 2.5 (PM2.5)) in a subsample. There were significantly high levels of CO and PM2.5 in the ambient air of households using biomass as the primary fuel for cooking. Children living in these households had a significantly higher number of children with ‘suspect’ developmental assessment scores in the language, social behavior and play and gross motor development domains.
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The Health Impact of Household Cooking Fuel Choice on Women: Evidence from China. SUSTAINABILITY 2021. [DOI: 10.3390/su132112080] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
Abstract
In order to achieve sustainable development, the world is experiencing a profound energy transition from traditional biomass through fossil fuel to clean and renewable energy. As women are the primary undertakers of cooking in developing countries, they are more vulnerable to household air pollution caused by solid fuel combustion. Although women can benefit from clean fuel switching for household cooking, its influence on women’s health is still not well understood. Using the longitudinal data from China Family Panel Studies in 2014 and 2018, this study adopts panel data models to investigate the impact of household cooking fuel choice on women’s health from multiple dimensions in China, including self-rated health, others-rated health, and instrumental activities of daily living, aiming at shedding light on energy transition and health improvement for developing countries. It is found that household cooking fuel switching from solid fuel to clean fuel improves women’s self-rated and others-rated health but has no significant impact on women’s abilities of independence in daily activities. Specifically, each level of household cooking fuel increases respondents’ self-rated and others-rated health by 0.009 and 0.043, respectively. Moreover, further investigation of the impact of household cooking fuel switching on the health status of women from different groups found: (1) the health effect of clean cooking fuel switching on women aged 46 and above is more significant than that on women aged 45 and below, (2) there are significant differences between urban and rural areas in the impact of household cooking fuel switching on women’s health, and (3) uneducated women benefit more than educated women from clean cooking fuel switching. Finally, this study provides some policy implications to promote the energy transition and improve women’s health in China and other developing countries.
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Ravindra K, Kaur-Sidhu M, Mor S. Transition to clean household energy through an application of integrated model: Ensuring sustainability for better health, climate and environment. THE SCIENCE OF THE TOTAL ENVIRONMENT 2021; 775:145657. [PMID: 33621873 DOI: 10.1016/j.scitotenv.2021.145657] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/28/2020] [Revised: 01/29/2021] [Accepted: 02/01/2021] [Indexed: 06/12/2023]
Abstract
Sustained use and adoption of clean cooking fuels have become an important concern for developing countries due to the enormous burden of diseases attributable to household air pollution (HAP). The transition and adoption of clean household energy involve various socio-economic, behavioral, and technological barriers at different community levels. Hence, the present paper aims to scrutinize the factors, key determinants, and other interventions among rural households that limit clean cookstoves' sustained uses. The study proposes an integrated model to enhance clean cooking fuel uptake and uses based on the available evidence. The health, climate and environmental factors were identified as the key to trigger the adoption of clean cooking fuel alternatives. The model comprises the integration of components for targeted clean fuel policy interventions and promotes green recovery. The elements include Knowledge, Housing characteristics, Awareness, Interventions, Willingness to pay, Adoption, Lower emissions and Gender Equality (THE KHAIWAL model) to ascertain the intervention focus regions. Integration of model components in policy implementation will promote clean household energy to reduce emissions, leading to improve quality of life, good health, women empowerment, better air quality and climate.
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Affiliation(s)
- Khaiwal Ravindra
- Department of Community Medicine and School of Public Health, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh 160012, India.
| | - Maninder Kaur-Sidhu
- Department of Community Medicine and School of Public Health, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh 160012, India
| | - Suman Mor
- Department of Environment Studies, Panjab University, Chandigarh 160014, India
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Alsaleh M, Zubair AO, Abdul-Rahim AS. Toward a better understanding of the impact of bioenergy use on mortality rate in EU28 region. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2021; 28:29831-29844. [PMID: 33575938 DOI: 10.1007/s11356-021-12769-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/08/2020] [Accepted: 01/28/2021] [Indexed: 06/12/2023]
Abstract
The objective of this research is to examine the impact of bioenergy usage on health outcomes, especially adult mortality in both developed and underdeveloped countries in the European Union, where the use of solid biomass is growing to generate bioheat, biocool, and biopower. Over the period studied, findings indicate that increased consumption of bioenergy has increased mortality rates in developed and underdeveloped EU28 countries during the period 1990-2018. This feedback proposes, using generalized least squares (GLS), that the resulting death rate from burning biomass-related cases is higher in the EU15 developed countries compared to EU13 underdeveloped countries. There is a need to lower burning biomass in the entire EU15 countries, more importantly its developed region, by critically evaluating the bioenergy production life cycle before it is available for final consumption. However, there is a continuous need to intensify stringent production procedures in the bioenergy industry in EU15 countries, more importantly the imported biomass crops for energy use. There is also a need to be consistent with the campaign on the usage of bioenergy products, i.e., bioheat, bioelectricity, and biofuels, particularly in the rural areas where the use of wood fuels for cooking, heating, and cooling are significant in EU15 developed countries in comparison to EU13 developing countries.
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Affiliation(s)
- Mohd Alsaleh
- School of Business and Economics (Formerly known as Faculty of Economics and Management), Universiti Putra Malaysia, 43400, Serdang, Selangor, Malaysia.
| | - Azeem Oluwaseyi Zubair
- School of Business and Economics (Formerly known as Faculty of Economics and Management), Universiti Putra Malaysia, 43400, Serdang, Selangor, Malaysia
| | - Abdul Samad Abdul-Rahim
- School of Business and Economics (Formerly known as Faculty of Economics and Management), Universiti Putra Malaysia, 43400, Serdang, Selangor, Malaysia
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Effects of indoor air pollution due to solid fuel combustion on physical growth of children under 5 in Sri Lanka: A descriptive cross sectional study. PLoS One 2021; 16:e0252230. [PMID: 34033666 PMCID: PMC8148308 DOI: 10.1371/journal.pone.0252230] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2020] [Accepted: 05/11/2021] [Indexed: 12/02/2022] Open
Abstract
Solid fuel combustion is an important risk factor of morbidity. This study was conducted to determine the effect of indoor air pollution (IAP) due to solid fuel combustion on physical growth in 262 Sri Lankan children under five. Exposure was defined by the type of fuel used for cooking. Pollutant levels were measured in a subsample of households. “High” exposure group (households using biomass fuel/kerosene oil for cooking) comprised 60% of the study population; the prevalence of wasting was 19.7% and underweight was 20.4% in the entire population where 68% were from the high exposure group. Children from the “high” exposure group had significantly lower mean z-scores for weight-for-height (p = 0.047), height-for-age (p = 0.004) and weight-for-age (p = 0.001) as compared to the “low” exposure group (children of households using liquefied petroleum gas and/or electricity) after adjusting for confounders. Z-scores of weight-for-age, height-for-age and weight-for-height were negatively correlated with CO (p = 0.001, 0.018, 0.020, respectively) and PM2.5 concentrations (p<0.001,p = 0.024 p = 0.008, respectively). IAP due to combustion of biomass fuel leads to poor physical growth.
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Rao SR, Chitra GA, Elavarasu G, Kamaraj P, Kaliaperumal K, Kaur P. Exposure to mosquito coil and biomass fuel smoke and respiratory health in rural Tamil Nadu, India. J Public Health (Oxf) 2021; 44:625-633. [PMID: 33912972 DOI: 10.1093/pubmed/fdab119] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2020] [Revised: 03/11/2021] [Accepted: 03/23/2021] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Mosquito coil smoke, along with biomass fuel smoke, are sources of indoor air pollution. Biomass fuel smoke has been studied as a risk factor for poor respiratory outcomes. However, in an Indian context, few studies examine the effect of mosquito coil exposure on poor respiratory outcomes at the community level. OBJECTIVES To estimate the prevalence of the biomass fuel and mosquito coil use and to determine the association between the use of bio-mass fuel and mosquito coil and poor respiratory health. METHODS A cross-sectional survey of 4662 individuals (above the age of 30 years) was conducted using a pre-tested questionnaire. Trained interviewers collected data on current and past use of biomass fuels and mosquito coils, usage practices and respiratory health. We computed proportions for exposure variables namely biomass fuel, mosquito coil use and other covariates. We conducted univariate analysis, followed by multivariate logistic regression. RESULTS The prevalence of ever use of biomass fuels was high (wood: 97.9%; cow dung cake: 76.0% and crop residue: 54.4%). Current use of wood, cow dung cake and crop residue was prevalent among 75.7, 24.3 and 30.9% respondents, respectively. Almost 70% of respondents had ever used mosquito coils, whereas 54% were current users. Overall, 5.5% respondents had poor respiratory health either due to chronic bronchitis or asthma. In multivariate analysis, use of combination of all three biomass fuel types (adjusted odds ratio [AOR] 1.69, 95% confidence interval [CI]: 1.13-2.54) and use of mosquito coil more than or equal to 5 days per week (AOR 1.43, 95% CI: 1.04-1.99) were associated with poor respiratory health after adjusting for covariates age, gender, smoking, kitchen type and for each other. CONCLUSIONS Use of biomass fuels and mosquito coils was high in the study population and was associated with poor respiratory health. Therefore, mosquito coil smoke should also be considered an important source of indoor air pollution, similar to biomass fuel exposure. Community education about these sources of indoor air pollution and increased coverage of cleaner fuels and alternative mosquito control methods should be the way forward in the rural areas.
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Affiliation(s)
- Sudha Ramachandra Rao
- National Institute of Epidemiology, Division of Non Communicable Diseases, Chennai, Tamil Nadu 600 077, India
| | - Grace A Chitra
- Department of Epidemiology, Global Institute of Public Health, Ananthapuri Hospitals and Research Institute, Chacka, Thiruvananthapuram, Kerala 695024, India
| | - G Elavarasu
- National Institute of Epidemiology, Division of Non Communicable Diseases, Chennai, Tamil Nadu 600 077, India
| | - P Kamaraj
- National Institute of Epidemiology, Division of Non Communicable Diseases, Chennai, Tamil Nadu 600 077, India
| | - Kanagasabai Kaliaperumal
- National Institute of Epidemiology, Division of Non Communicable Diseases, Chennai, Tamil Nadu 600 077, India
| | - Prabhdeep Kaur
- National Institute of Epidemiology, Division of Non Communicable Diseases, Chennai, Tamil Nadu 600 077, India
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Ravindra K, Kaur-Sidhu M, Mor S, Chakma J, Pillarisetti A. Impact of the COVID-19 pandemic on clean fuel programmes in India and ensuring sustainability for household energy needs. ENVIRONMENT INTERNATIONAL 2021; 147:106335. [PMID: 33383390 DOI: 10.1016/j.envint.2020.106335] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/29/2020] [Revised: 11/20/2020] [Accepted: 12/11/2020] [Indexed: 05/21/2023]
Abstract
Clean cooking energy strategies are critical for reducing air pollution, improving health, and achieving related Sustainable Development Goals. The recent COVID-19 lockdowns may impact the transition towards clean cooking fuels. The nationwide lockdown is likely to affect key factors such as energy access, income, transportation, etc., that play a role in decisions influencing household fuel use. The rural population already bears the burden of poverty and may not be able to afford and access clean cooking fuels during the lockdown. They are thus vulnerable to reversion to their traditional cooking methods using solid biomass fuels. The household air pollution caused due to the use of polluting fuels increases their susceptibility to non-communicable diseases, and thus may intensify the risk and severity of COVID-19 infection. Hence, there is an urgent need to expand sustainable energy solutions worldwide. The present study applies the DPSIR modeling framework to establish a set of comprehensive indicators for addressing the transition towards clean cooking fuels during the COVID-19 pandemic. The study also provides insights on various strategies adopted in India in response to the COVID-19 pandemic for maintaining continuity of delivering benefits under a clean cookstove program. The study offers future directions to ensure the transition towards cleaner fuels and sustainability.
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Affiliation(s)
- Khaiwal Ravindra
- Department of Community Medicine and School of Public Health, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh 160012, India.
| | - Maninder Kaur-Sidhu
- Department of Community Medicine and School of Public Health, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh 160012, India
| | - Suman Mor
- Department of Environment Studies, Panjab University, Chandigarh 160014, India
| | - Joy Chakma
- Indian Council of Medical Research, ICMR, New Delhi, India
| | - Ajay Pillarisetti
- Gangarosa Department of Environmental Health, Emory University, Atlanta, GA 30307, USA
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Woolley KE, Dickinson-Craig E, Bartington SE, Oludotun T, Kirenga B, Mariga ST, Kabera T, Coombe A, Pope FD, Singh A, Avis WR, Day R, Warburton D, Manaseki-Holland S, Moore DJ, Thomas GN. Effectiveness of interventions to reduce household air pollution from solid biomass fuels and improve maternal and child health outcomes in low- and middle-income countries: a systematic review protocol. Syst Rev 2021; 10:33. [PMID: 33472668 PMCID: PMC7818907 DOI: 10.1186/s13643-021-01590-z] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/16/2020] [Accepted: 01/11/2021] [Indexed: 01/03/2023] Open
Abstract
BACKGROUND A variety of public health interventions have been undertaken in low- and middle-income countries (LMICs) to prevent morbidity and mortality associated with household air pollution (HAP) due to cooking, heating and lighting with solid biomass fuels. Pregnant women and children under five are particularly vulnerable to the effects of HAP, due to biological susceptibility and typically higher exposure levels. However, the relative health benefits of interventions to reduce HAP exposure among these groups remain unclear. This systematic review aims to assess, among pregnant women, infants and children (under 5 years) in LMIC settings, the effectiveness of interventions which aim to reduce household air pollutant emissions due to household solid biomass fuel combustion, compared to usual cooking practices, in terms of health outcomes associated with HAP exposure. METHODS This protocol follows standard systematic review processes and abides by the PRISMA-P reporting guidelines. Searches will be undertaken in MEDLINE, EMBASE, CENTRAL, WHO International Clinical Trials Registry Platform (ICTRP), The Global Index Medicus (GIM), ClinicalTrials.gov and Greenfile, combining terms for pregnant women and children with interventions or policy approaches to reduce HAP from biomass fuels or HAP terms and LMIC countries. Included studies will be those reporting (i) pregnant women and children under 5 years; (ii) fuel transition, structural, educational or policy interventions; and (iii) health events associated with HAP exposure which occur among pregnant women or among children within the perinatal period, infancy and up to 5 years of age. A narrative synthesis will be undertaken for each population-intervention-outcome triad stratified by study design. Clinical and methodological homogeneity within each triad will be used to determine the feasibility for undertaking meta-analyses to give a summary estimate of the effect for each outcome. DISCUSSION This systematic review will identify the effectiveness of existing HAP intervention measures in LMIC contexts, with discussion on the context of implementation and adoption, and summarise current literature of relevance to maternal and child health. This assessment reflects the need for HAP interventions which achieve measurable health benefits, which would need to be supported by policies that are socially and economically acceptable in LMIC settings worldwide. SYSTEMATIC REVIEW REGISTRATION PROSPERO CRD42020164998.
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Affiliation(s)
- Katherine E Woolley
- Institute of Applied Heath Research, University of Birmingham, Birmingham, UK
| | | | | | - Tosin Oludotun
- Institute of Applied Heath Research, University of Birmingham, Birmingham, UK
| | - Bruce Kirenga
- Makerere University Lung Institute, College of Health Sciences, Mulago Hospital, Kampala, Uganda
| | - Shelton T Mariga
- Makerere University Lung Institute, College of Health Sciences, Mulago Hospital, Kampala, Uganda
| | - Telesphore Kabera
- University of Rwanda College of Science and Technology, Kigali, Rwanda
| | - April Coombe
- Institute of Applied Heath Research, University of Birmingham, Birmingham, UK
| | - Francis D Pope
- School of Geography, Earth and Environmental Sciences, University of Birmingham, Edgbaston, Birmingham, UK
| | - Ajit Singh
- School of Geography, Earth and Environmental Sciences, University of Birmingham, Edgbaston, Birmingham, UK
| | - William R Avis
- International Development Department, University of Birmingham, Edgbaston, Birmingham, UK
| | - Rosie Day
- School of Geography, Earth and Environmental Sciences, University of Birmingham, Edgbaston, Birmingham, UK
| | - David Warburton
- Children's Hospital Los Angeles, University of Southern California, Los Angeles, USA
| | | | - David J Moore
- Institute of Applied Heath Research, University of Birmingham, Birmingham, UK
| | - G Neil Thomas
- Institute of Applied Heath Research, University of Birmingham, Birmingham, UK
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Pandey A, Brauer M, Cropper ML, Balakrishnan K, Mathur P, Dey S, Turkgulu B, Kumar GA, Khare M, Beig G, Gupta T, Krishnankutty RP, Causey K, Cohen AJ, Bhargava S, Aggarwal AN, Agrawal A, Awasthi S, Bennitt F, Bhagwat S, Bhanumati P, Burkart K, Chakma JK, Chiles TC, Chowdhury S, Christopher DJ, Dey S, Fisher S, Fraumeni B, Fuller R, Ghoshal AG, Golechha MJ, Gupta PC, Gupta R, Gupta R, Gupta S, Guttikunda S, Hanrahan D, Harikrishnan S, Jeemon P, Joshi TK, Kant R, Kant S, Kaur T, Koul PA, Kumar P, Kumar R, Larson SL, Lodha R, Madhipatla KK, Mahesh PA, Malhotra R, Managi S, Martin K, Mathai M, Mathew JL, Mehrotra R, Mohan BVM, Mohan V, Mukhopadhyay S, Mutreja P, Naik N, Nair S, Pandian JD, Pant P, Perianayagam A, Prabhakaran D, Prabhakaran P, Rath GK, Ravi S, Roy A, Sabde YD, Salvi S, Sambandam S, Sharma B, Sharma M, Sharma S, Sharma RS, Shrivastava A, Singh S, Singh V, Smith R, Stanaway JD, Taghian G, Tandon N, Thakur JS, Thomas NJ, Toteja GS, Varghese CM, Venkataraman C, Venugopal KN, Walker KD, Watson AY, Wozniak S, Xavier D, Yadama GN, Yadav G, Shukla DK, Bekedam HJ, Reddy KS, Guleria R, Vos T, Lim SS, Dandona R, Kumar S, Kumar P, Landrigan PJ, Dandona L. Health and economic impact of air pollution in the states of India: the Global Burden of Disease Study 2019. Lancet Planet Health 2021; 5:e25-e38. [PMID: 33357500 PMCID: PMC7805008 DOI: 10.1016/s2542-5196(20)30298-9] [Citation(s) in RCA: 116] [Impact Index Per Article: 38.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2020] [Revised: 11/13/2020] [Accepted: 12/03/2020] [Indexed: 05/24/2023]
Abstract
BACKGROUND The association of air pollution with multiple adverse health outcomes is becoming well established, but its negative economic impact is less well appreciated. It is important to elucidate this impact for the states of India. METHODS We estimated exposure to ambient particulate matter pollution, household air pollution, and ambient ozone pollution, and their attributable deaths and disability-adjusted life-years in every state of India as part of the Global Burden of Disease Study (GBD) 2019. We estimated the economic impact of air pollution as the cost of lost output due to premature deaths and morbidity attributable to air pollution for every state of India, using the cost-of-illness method. FINDINGS 1·67 million (95% uncertainty interval 1·42-1·92) deaths were attributable to air pollution in India in 2019, accounting for 17·8% (15·8-19·5) of the total deaths in the country. The majority of these deaths were from ambient particulate matter pollution (0·98 million [0·77-1·19]) and household air pollution (0·61 million [0·39-0·86]). The death rate due to household air pollution decreased by 64·2% (52·2-74·2) from 1990 to 2019, while that due to ambient particulate matter pollution increased by 115·3% (28·3-344·4) and that due to ambient ozone pollution increased by 139·2% (96·5-195·8). Lost output from premature deaths and morbidity attributable to air pollution accounted for economic losses of US$28·8 billion (21·4-37·4) and $8·0 billion (5·9-10·3), respectively, in India in 2019. This total loss of $36·8 billion (27·4-47·7) was 1·36% of India's gross domestic product (GDP). The economic loss as a proportion of the state GDP varied 3·2 times between the states, ranging from 0·67% (0·47-0·91) to 2·15% (1·60-2·77), and was highest in the low per-capita GDP states of Uttar Pradesh, Bihar, Rajasthan, Madhya Pradesh, and Chhattisgarh. Delhi had the highest per-capita economic loss due to air pollution, followed by Haryana in 2019, with 5·4 times variation across all states. INTERPRETATION The high burden of death and disease due to air pollution and its associated substantial adverse economic impact from loss of output could impede India's aspiration to be a $5 trillion economy by 2024. Successful reduction of air pollution in India through state-specific strategies would lead to substantial benefits for both the health of the population and the economy. FUNDING UN Environment Programme; Bill & Melinda Gates Foundation; and Indian Council of Medical Research, Department of Health Research, Ministry of Health and Family Welfare, Government of India.
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18
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Liao J, McCracken JP, Piedrahita R, Thompson L, Mollinedo E, Canuz E, De Léon O, Díaz-Artiga A, Johnson M, Clark M, Pillarisetti A, Kearns K, Naeher L, Steenland K, Checkley W, Peel J, Clasen TF. The use of bluetooth low energy Beacon systems to estimate indirect personal exposure to household air pollution. JOURNAL OF EXPOSURE SCIENCE & ENVIRONMENTAL EPIDEMIOLOGY 2020; 30:990-1000. [PMID: 31558836 PMCID: PMC7325654 DOI: 10.1038/s41370-019-0172-z] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/21/2019] [Revised: 07/09/2019] [Accepted: 07/25/2019] [Indexed: 05/05/2023]
Abstract
Household air pollution (HAP) generated from solid fuel combustion is a major health risk. Direct measurement of exposure to HAP is burdensome and challenging, particularly for children. In a pilot study of the Household Air Pollution Intervention Network (HAPIN) trial in rural Guatemala, we evaluated an indirect exposure assessment method that employs fixed continuous PM2.5 monitors, Bluetooth signal receivers in multiple microenvironments (kitchen, sleeping area and outdoor patio), and a wearable signal emitter to track an individual's time within those microenvironments. Over a four-month period, we measured microenvironmental locations and reconstructed indirect PM2.5 exposures for women and children during two 24-h periods before and two periods after a liquefied petroleum gas (LPG) stove and fuel intervention delivered to 20 households cooking with woodstoves. Women wore personal PM2.5 monitors to compare direct with indirect exposure measurements. Indirect exposure measurements had high correlation with direct measurements (n = 62, Spearman ρ = 0.83, PM2.5 concentration range: 5-528 µg/m3). Indirect exposure had better agreement with direct exposure measurements (bias: -17 µg/m3) than did kitchen area measurements (bias: -89 µg/m3). Our findings demonstrate that indirect exposure reconstruction is a feasible approach to estimate personal exposure when direct assessment is not possible.
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Affiliation(s)
- Jiawen Liao
- Department of Environmental Health, Emory University, Atlanta, GA, USA.
| | - John P McCracken
- Centro de Estudios en Salud, Universidad del Valle de Guatemala, Guatemala City, Guatemala
| | | | - Lisa Thompson
- Department of Environmental Health, Emory University, Atlanta, GA, USA
- Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA, USA
| | - Erick Mollinedo
- Centro de Estudios en Salud, Universidad del Valle de Guatemala, Guatemala City, Guatemala
| | - Eduardo Canuz
- Centro de Estudios en Salud, Universidad del Valle de Guatemala, Guatemala City, Guatemala
| | - Oscar De Léon
- Centro de Estudios en Salud, Universidad del Valle de Guatemala, Guatemala City, Guatemala
| | - Anaité Díaz-Artiga
- Centro de Estudios en Salud, Universidad del Valle de Guatemala, Guatemala City, Guatemala
| | | | - Maggie Clark
- Department of Environmental and Radiological Health Sciences, Colorado State University, Fort Collins, CO, USA
| | - Ajay Pillarisetti
- Environmental Health Sciences, School of Public Health, University of California, Berkeley, CA, USA
| | - Katherine Kearns
- College of Public Health, University of Georgia, Athens, GA, USA
| | - Luke Naeher
- College of Public Health, University of Georgia, Athens, GA, USA
| | - Kyle Steenland
- Department of Environmental Health, Emory University, Atlanta, GA, USA
| | - William Checkley
- Division of Pulmonary and Critical Care, School of Medicine, Johns Hopkins University, Baltimore, MD, USA
- Center for Global Non-Communicable Diseases, Johns Hopkins University, Baltimore, MD, USA
| | - Jennifer Peel
- Department of Environmental and Radiological Health Sciences, Colorado State University, Fort Collins, CO, USA
| | - Thomas F Clasen
- Department of Environmental Health, Emory University, Atlanta, GA, USA
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Tiwari I, Herr RM, Loerbroks A, Yamamoto SS. Household Air Pollution and Angina Pectoris in Low- and Middle-Income Countries: Cross-Sectional Evidence from the World Health Survey 2002-2003. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17165802. [PMID: 32796570 PMCID: PMC7460098 DOI: 10.3390/ijerph17165802] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/07/2020] [Revised: 08/08/2020] [Accepted: 08/10/2020] [Indexed: 12/03/2022]
Abstract
The evidence regarding the effects of household air pollution on angina pectoris is limited in low-and middle-income countries (LMICs). We sought to examine the association between household air pollution and angina pectoris across several countries. We analyzed data of individuals from 46 selected countries participating in the cross-sectional World Health Survey (WHS) 2002–2003. Pooled and stratified (sex, continent) logistic regression with sampling weights was used to estimate adjusted odds ratios (ORs) and 95% confidence intervals (CIs) to quantify associations between the use of different household fuels with angina pectoris. In the pooled sample, we observed lower odds of angina pectoris with electricity use (OR: 0.68, 95% CI: 0.56–0.83) compared to those households reporting the use of gas as a household fuel. Increased odds of angina pectoris were observed with the use of agriculture/dung/shrub/other (OR: 1.65, 95% CI: 1.30–2.09), mixed (solid and non-solid fuels) (OR: 1.31, 95% CI: 1.09–1.56), and mixed solid fuel use (OR: 1.59, 95% CI: 1.12–2.25). Higher odds of angina pectoris were observed mainly with solid fuel use. The results highlight the importance of addressing these issues, especially in regions with a high proportion of solid fuel users and increasing levels of cardiovascular disease.
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Affiliation(s)
- Ishwar Tiwari
- School of Public Health, University of Alberta, Edmonton, AB T6G 1C9, Canada;
- Correspondence:
| | - Raphael M. Herr
- Mannheim Institute of Public Health, Social and Preventive Medicine, Medical Faculty Mannheim, Heidelberg University, 68167 Mannheim, Germany;
| | - Adrian Loerbroks
- Institute of Occupational, Social and Environmental Medicine, Centre for Health and Society, Faculty of Medicine, University of Düsseldorf, 40225 Düsseldorf, Germany;
| | - Shelby S. Yamamoto
- School of Public Health, University of Alberta, Edmonton, AB T6G 1C9, Canada;
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20
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Embiale A, Chandravanshi BS, Zewge F, Sahle-Demessie E. Indoor air pollution from cook-stoves during Injera baking in Ethiopia, exposure, and health risk assessment. ARCHIVES OF ENVIRONMENTAL & OCCUPATIONAL HEALTH 2020; 76:103-115. [PMID: 32613906 DOI: 10.1080/19338244.2020.1787317] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
This study was undertaken to assess indoor air pollution and potential exposure to particulate matters (PMs-PM1, PM2.5, PM4, PM7, PM10), and total suspended particles [TSP] and total volatile organic compounds [TVOCs] during baking of Ethiopian traditional staple food, Injera using different types of stoves at Addis Ababa, Ethiopia. The geometric mean (GOM) of PMs pollutant using clean, improved, and traditional stoves were ranged 10.8-235, 23.6-462, and 36.4-591 µg/m3, respectively. The GOM of TVOCs in the wet and dry season using the clean, improved, and traditional stoves were 1,553, 2,234, 4,421, and 845, 1,214, and 2,662 µg/m3, respectively. The health risk of an exposed person to PM2.5, PM10, and TSP during baking of Injera was characterized and the results showed only baking of Injera using any of the stove types does not cause health problems to the baker. However, the percent contribution to the total chronic intake is high up to 38%.
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Affiliation(s)
- Asamene Embiale
- Department of Chemistry, College of Natural and Computational Sciences, Addis Ababa University, Addis Ababa, Ethiopia
| | - Bhagwan Singh Chandravanshi
- Department of Chemistry, College of Natural and Computational Sciences, Addis Ababa University, Addis Ababa, Ethiopia
| | - Feleke Zewge
- Department of Chemistry, College of Natural and Computational Sciences, Addis Ababa University, Addis Ababa, Ethiopia
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21
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Sanchez M, Milà C, Sreekanth V, Balakrishnan K, Sambandam S, Nieuwenhuijsen M, Kinra S, Marshall JD, Tonne C. Personal exposure to particulate matter in peri-urban India: predictors and association with ambient concentration at residence. JOURNAL OF EXPOSURE SCIENCE & ENVIRONMENTAL EPIDEMIOLOGY 2020; 30:596-605. [PMID: 31263182 DOI: 10.1038/s41370-019-0150-5] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/17/2018] [Revised: 03/11/2019] [Accepted: 05/01/2019] [Indexed: 05/03/2023]
Abstract
Scalable exposure assessment approaches that capture personal exposure to particles for purposes of epidemiology are currently limited, but valuable, particularly in low-/middle-income countries where sources of personal exposure are often distinct from those of ambient concentrations. We measured 2 × 24-h integrated personal exposure to PM2.5 and black carbon in two seasons in 402 participants living in peri-urban South India. Means (sd) of PM2.5 personal exposure were 55.1(82.8) µg/m3 for men and 58.5(58.8) µg/m3 for women; corresponding figures for black carbon were 4.6(7.0) µg/m3 and 6.1(9.6) µg/m3. Most variability in personal exposure was within participant (intra-class correlation ~20%). Personal exposure measurements were not correlated (Rspearman < 0.2) with annual ambient concentration at residence modeled by land-use regression; no subgroup with moderate or good agreement could be identified (weighted kappa ≤ 0.3 in all subgroups). We developed models to predict personal exposure in men and women separately, based on time-invariant characteristics collected at baseline (individual, household, and general time-activity) using forward stepwise model building with mixed models. Models for women included cooking activities and household socio-economic position, while models for men included smoking and occupation. Models performed moderately in terms of between-participant variance explained (38-53%) and correlations between predictions and measurements (Rspearman: 0.30-0.50). More detailed, time-varying time-activity data did not substantially improve the performance of the models. Our results demonstrate the feasibility of predicting personal exposure in support of epidemiological studies investigating long-term particulate matter exposure in settings characterized by solid fuel use and high occupational exposure to particles.
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Affiliation(s)
- Margaux Sanchez
- Barcelona Institute for Global Health (ISGlobal), Barcelona, Spain
- Universitat Pompeu Fabra (UPF), Barcelona, Spain
- CIBER Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain
| | - Carles Milà
- Barcelona Institute for Global Health (ISGlobal), Barcelona, Spain
- Universitat Pompeu Fabra (UPF), Barcelona, Spain
- CIBER Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain
| | - V Sreekanth
- Department of Civil and Environmental Engineering, University of Washington, Seattle, WA, United States
| | - Kalpana Balakrishnan
- Department of Environmental Health Engineering, Sri Ramachandra University (SRU), Chennai, India
| | - Sankar Sambandam
- Department of Environmental Health Engineering, Sri Ramachandra University (SRU), Chennai, India
| | - Mark Nieuwenhuijsen
- Barcelona Institute for Global Health (ISGlobal), Barcelona, Spain
- Universitat Pompeu Fabra (UPF), Barcelona, Spain
- CIBER Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain
| | - Sanjay Kinra
- Department of Non-communicable Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, UK
| | - Julian D Marshall
- Department of Civil and Environmental Engineering, University of Washington, Seattle, WA, United States
| | - Cathryn Tonne
- Barcelona Institute for Global Health (ISGlobal), Barcelona, Spain.
- Universitat Pompeu Fabra (UPF), Barcelona, Spain.
- CIBER Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain.
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22
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Woolley K, Bartington SE, Pope FD, Price MJ, Thomas GN, Kabera T. Biomass cooking carbon monoxide levels in commercial canteens in Kigali, Rwanda. ARCHIVES OF ENVIRONMENTAL & OCCUPATIONAL HEALTH 2020; 76:75-85. [PMID: 32400286 DOI: 10.1080/19338244.2020.1761279] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
Carbon monoxide (CO) is harmful to human health, yet there is limited evidence concerning emissions associated with biomass fuel cooking in occupational settings. Real-time 48-hour monitoring of CO concentrations at breathing height, was undertaken in staff and student kitchen and serving areas of two commercial canteens. We characterized two diurnal CO peaks coinciding with cooking activities. Peak CO concentrations of 255.5 ppm and 1-hour average of 76.3 ppm (IQR: 57.8-109.0 ppm) were observed in the student kitchen; the staff kitchen levels were 208.5 ppm, and 76.3 ppm (IQR: 52.5-114.0 ppm), respectively. High magnitude CO concentrations (8-hour average: 40.7 ppm SD: 40.0 ppm) which exceed World Health Organisation (WHO) Indoor Air Quality standards were observed. Further investigation of personal exposure and health impacts among kitchen staff is required, to inform interventions in this setting.
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Affiliation(s)
- Katherine Woolley
- Institute of Applied Health Research, University of Birmingham, Birmingham, UK
| | | | - Francis D Pope
- School of Geography, Earth and Environmental Sciences, University of Birmingham, Birmingham, UK
| | - Malcolm J Price
- Institute of Applied Health Research, University of Birmingham, Birmingham, UK
| | - G Neil Thomas
- Institute of Applied Health Research, University of Birmingham, Birmingham, UK
| | - Telesphore Kabera
- College of Science and Technology, University of Rwanda, Kigali, Rwanda
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23
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Tadevosyan A, Mikulski MA, Baber Wallis A, Rubenstein L, Abrahamyan S, Arestakesyan L, Hovsepyan M, Reynolds SJ, Fuortes LJ. Open fire ovens and effects of in-home lavash bread baking on carbon monoxide exposure and carboxyhemoglobin levels among women in rural Armenia. INDOOR AIR 2020; 30:361-369. [PMID: 31724228 PMCID: PMC9514389 DOI: 10.1111/ina.12623] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/31/2019] [Revised: 10/28/2019] [Accepted: 11/11/2019] [Indexed: 05/16/2023]
Abstract
Lavash is a traditional flatbread commonly baked at home by women in Armenia and other Middle Eastern and Caucasus countries. The baking process follows centuries' old recipes and is done primarily in open fire ovens. Data are limited regarding the impact of baking on indoor air quality and health outcomes. This study aimed at assessing the effects of lavash baking on household air pollution and cardiovascular outcomes among women who bake lavash in rural Armenia. A convenience sample of 98 bakers, all women, never-smokers, representing 36 households were enrolled. Carbon monoxide (CO) concentrations and carboxyhemoglobin (COHb) levels were monitored before, during, and/or after baking. As expected, exposure to concentrations of CO peaking at/or above 35-ppm during baking was more likely to occur in homes with fully enclosed and poorly ventilated baking rooms, compared to those with three or fewer walls and/or one or more windows. Bakers in homes where CO concentrations peaked at/or above 35-ppm were more likely to have an increase in post-baking COHb levels compared to those in homes with lower CO concentrations.
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Affiliation(s)
- Artashes Tadevosyan
- Department of Public Health and Healthcare Organization, Yerevan State Medical University, Yerevan, Armenia
| | - Marek A Mikulski
- Department of Occupational and Environmental Health, College of Public Health, University of Iowa, Iowa City, IA, USA
| | - Anne Baber Wallis
- Department of Epidemiology and Population Health, School of Public Health and Information Sciences, University of Louisville, Louisville, KY, USA
| | - Linda Rubenstein
- Department of Epidemiology, College of Public Health, University of Iowa, Iowa City, IA, USA
| | - Satenik Abrahamyan
- Department of Public Health and Healthcare Organization, Yerevan State Medical University, Yerevan, Armenia
| | - Lusine Arestakesyan
- Department of Public Health and Healthcare Organization, Yerevan State Medical University, Yerevan, Armenia
| | - Marina Hovsepyan
- Arabkir Joint Medical Center- Institute of Child and Adolescent Health, Yerevan, Armenia
| | - Steve J Reynolds
- Department of Environmental and Radiological Health Sciences, Colorado State University, Fort Collins, CO, USA
| | - Laurence J Fuortes
- Department of Occupational and Environmental Health, College of Public Health, University of Iowa, Iowa City, IA, USA
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24
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Agarwal A, Satsangi A, Lakhani A, Kumari KM. Seasonal and spatial variability of secondary inorganic aerosols in PM 2.5 at Agra: Source apportionment through receptor models. CHEMOSPHERE 2020; 242:125132. [PMID: 31669986 DOI: 10.1016/j.chemosphere.2019.125132] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/04/2019] [Revised: 10/09/2019] [Accepted: 10/14/2019] [Indexed: 06/10/2023]
Abstract
The present study was conducted at sub-urban and rural site of Agra. The main aim of this study was to characterize WSII in terms of spatial, seasonal and formation characteristics and identify the major sources responsible for the pollution of WSII in PM2.5 particles using different source apportionment models. Since biomass burning is one of the most important sources of PM2.5 pollution in Agra, a case study was also conducted at rural site to investigate the contribution of biomass burning from cooking activities using different types of fuels. PM2.5 mass concentrations were higher at sub-urban site (91.0 ± 50.8 μg/m3) than at rural site (77.1 ± 48.6 μg/m3). WSII contributed 50.0% and 45.8% of annual average PM2.5 mass at both sites. The aerosols were ammonium rich and were therefore alkaline in nature. Aerosol acidity characteristics studied using AIM-II model showed that the aerosols were slightly less acidic at rural site than at sub-urban site. SO42-, NO3- and NH4+ were the major contributors of WSII and their formation was favoured mainly in winter. Although, WSII showed slight variations in seasonal and spatial characteristics, the major sources of pollution were found to be similar. Four sources were identified as biomass burning (29.1% and 27.4%), secondary aerosols (26.2% and 22.5%), coal combustion (22.3% and 26.9%) and soil dust (22.4% and 23.1%) at sub-urban and rural sites. The results of case study showed that among different types of biomass fuels cow dung cakes showed maximum PM2.5 emissions while LPG showed minimum PM2.5 emissions.
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Affiliation(s)
- Awni Agarwal
- Department of Chemistry, Faculty of Science, Dayalbagh Educational Institute, Dayalbagh, Agra, 282110, UP, India
| | - Aparna Satsangi
- Department of Chemistry, Faculty of Science, Dayalbagh Educational Institute, Dayalbagh, Agra, 282110, UP, India
| | - Anita Lakhani
- Department of Chemistry, Faculty of Science, Dayalbagh Educational Institute, Dayalbagh, Agra, 282110, UP, India
| | - K Maharaj Kumari
- Department of Chemistry, Faculty of Science, Dayalbagh Educational Institute, Dayalbagh, Agra, 282110, UP, India.
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25
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Estévez-García JA, Schilmann A, Riojas-Rodríguez H, Berrueta V, Blanco S, Villaseñor-Lozano CG, Flores-Ramírez R, Cortez-Lugo M, Pérez-Padilla R. Women exposure to household air pollution after an improved cookstove program in rural San Luis Potosi, Mexico. THE SCIENCE OF THE TOTAL ENVIRONMENT 2020; 702:134456. [PMID: 31734613 DOI: 10.1016/j.scitotenv.2019.134456] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/08/2019] [Revised: 09/01/2019] [Accepted: 09/13/2019] [Indexed: 05/18/2023]
Abstract
The state government of San Luis Potosí (SLP), Mexico implemented an improved cookstove (ICS) program in rural areas. As part of the comprehensive program evaluation, we compared fine particulate material (PM2.5) concentrations in kitchens and patios in treated (TH), and non-treated households (NTH), and analyzed pollutant levels according to patterns of fuels and devices use reported by the women. A panel study was conducted in 728 households (357 TH and 371 NTH) in three regions of SLP including two sampling rounds in 2015-16. Data on exposure determinants, ICS conditions and cooking practices were collected. Daily PM2.5 in kitchen and patio was measured in a subsample. The average treatment effect was estimated using the double difference method. We constructed a mixed linear model to estimate PM2.5 levels for the entire study sample and obtained personal exposure according to time-activity logs. NTH had lower socioeconomic status compared to TH. The average daily PM2.5 concentrations in NTH compared to TH were 155.2 and 92.6 μg/m3 for kitchen and 35.4 and 39.8 μg/m3 for patio, respectively. PM2.5 levels showed significant regional differences but no significant treatment effect. In many cases, the ICS was added to previous open fire and LPG use (stacking). The household size, kitchen ventilation, relative humidity, temperature and the ratio of indoor/outdoor PM2.5 concentration were significant predictors of kitchen PM2.5 levels. The daily PM2.5 personal exposure was significantly reduced using ICS in good conditions or LPG (57 μg/m3) compared to the traditional open fire (86 μg/m3). This study strengthens the evidence on the potential daily PM2.5 exposure reduction for women using an ICS in good conditions or LPG, displacing the polluting open fire. Comprehensive strategies tailored to the sociocultural context of the communities are needed to implement clean energy programs that achieve adoption and sustained use of ICS or LPG.
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Affiliation(s)
- Jesús Alejandro Estévez-García
- Environmental Health Department, National Institute of Public Health, Av. Universidad 655, Colonia Santa María, Ahuacatitlan, 62100 Cuernavaca, Morelos, Mexico.
| | - Astrid Schilmann
- Environmental Health Department, National Institute of Public Health, Av. Universidad 655, Colonia Santa María, Ahuacatitlan, 62100 Cuernavaca, Morelos, Mexico.
| | - Horacio Riojas-Rodríguez
- Environmental Health Department, National Institute of Public Health, Av. Universidad 655, Colonia Santa María, Ahuacatitlan, 62100 Cuernavaca, Morelos, Mexico.
| | - Víctor Berrueta
- Interdisciplinary Group for Appropriate Rural Technology (GIRA), C.P.61609 Patzcuaro, Michoacan, Mexico
| | - Salvador Blanco
- General Coordination of Pollution and Environmental Health, National Institute of Ecology and Climate Change (INECC), Periférico Sur 5000, 4530, Mexico City, Mexico.
| | - César Gerardo Villaseñor-Lozano
- Coordination for Innovation and Application of Science and Technology (CIACYT), Autonomous University of San Luis Potosi, Avenida Sierra Leona 550, 78210 San Luis Potosí, Mexico
| | - Rogelio Flores-Ramírez
- CONACyT Research Fellow, Coordination for Innovation and Application of Science and Technology (CIACYT), Autonomous University of San Luis Potosi. Avenida Sierra Leona 550, 78210 San Luis Potosí, Mexico
| | - Marlene Cortez-Lugo
- Environmental Health Department, National Institute of Public Health, Av. Universidad 655, Colonia Santa María, Ahuacatitlan, 62100 Cuernavaca, Morelos, Mexico
| | - Rogelio Pérez-Padilla
- Tobacco and COPD Department, National Institute of Respiratory Diseases (INER), Tlalpan 4502, 14080 Mexico City, Mexico
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26
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Sathiakumar N, Mishra S, McClure L, Golla V, Guddattu V, Lungu C. Relationship between diabetes mellitus and indoor air pollution: An exploratory analysis. INTERNATIONAL JOURNAL OF NONCOMMUNICABLE DISEASES 2020. [DOI: 10.4103/jncd.jncd_38_20] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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27
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Yamamoto SS, Yacyshyn E, Jhangri GS, Chopra A, Parmar D, Jones CA. Household air pollution and arthritis in low-and middle-income countries: Cross-sectional evidence from the World Health Organization's study on Global Ageing and Adult Health. PLoS One 2019; 14:e0226738. [PMID: 31881058 PMCID: PMC6934325 DOI: 10.1371/journal.pone.0226738] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2018] [Accepted: 12/06/2019] [Indexed: 02/07/2023] Open
Abstract
Background Evidence points to a clear link between air pollution exposure and several chronic diseases though investigations regarding arthritis are still lacking. Emerging evidence suggests an association between ambient air pollution and rheumatoid arthritis. Household air pollution exposure, conversely, is largely unstudied but may be an important consideration for arthritis, particularly in low- and middle-income countries (LMICs), where cooking and heating activities can generate high indoor air pollutant levels. Methods We investigated the association of household air pollution (electricity vs. gas; kerosene/paraffin; coal/charcoal; wood; or agriculture/crop/animal dung/shrubs/grass as the main fuel used for cooking) and arthritis in six LMICs (China, Ghana, India, Mexico, the Russian Federation, South Africa) using data from Wave I of the World Health Organization Study on Global AGEing and Adult Health (SAGE) (2007–2010). Multivariable analyses were adjusted for sociodemographic, household and lifestyle characteristics and several comorbidities. Results The use of gas (aOR = 1.76, 95%CI: 1.40–2.21); coal (aOR = 1.74, 95%CI: 1.22–2.47); wood (aOR = 1.69, 95%CI: 1.30–2.19); or agriculture/crop/animal dung/shrubs/grass: aOR = 1.95 (1.46–2.61) fuels for cooking were strongly associated with an increased odds of arthritis, compared to electricity in cluster and stratified adjusted analyses. Gender (female), age (≥50 years), overweight (25.0 ≤BMI<30.0 kg/m2), obesity (BMI ≥30.0 kg/m2), former and current alcohol consumption, and the comorbidities angina pectoris, diabetes, chronic lung disease, depression and hypertension were also associated with a higher odds of arthritis. Underweight (BMI<18.5 kg/m2) and higher education levels (college/university completed/post-graduate studies) were associated with a lower odds of arthritis. Conclusions These findings suggest that exposure to household air pollution from cook fuels is associated with an increased odds of arthritis in these regions, which warrants further investigation.
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Affiliation(s)
- Shelby S. Yamamoto
- School of Public Health, University of Alberta, Edmonton, Canada
- * E-mail:
| | - Elaine Yacyshyn
- Division of Rheumatology, Faculty of Medicine & Dentistry, University of Alberta, Edmonton, Canada
| | - Gian S. Jhangri
- School of Public Health, University of Alberta, Edmonton, Canada
| | | | - Divya Parmar
- School of Health Sciences, City, University of London, London, England, United Kingdom
| | - C. Allyson Jones
- Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Canada
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28
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Parikh P, Kwami CS, Vivekanand V, Paritosh K, Lakhanpaul M. Linkages between Respiratory Symptoms in Women and Biofuel Use: Regional Case Study of Rajasthan, India. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:E3594. [PMID: 31557896 PMCID: PMC6801899 DOI: 10.3390/ijerph16193594] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/07/2019] [Revised: 09/12/2019] [Accepted: 09/20/2019] [Indexed: 11/17/2022]
Abstract
Women in low and middle-income countries predominantly use biofuel for cooking, resulting in potential adverse health outcomes. In India, it is estimated that about 40% of total primary energy consumption is in the domestic sector with biofuels alone accounting for about 75% of domestic energy consumption. This study assesses linkages between wood consumption and perceptions of women's health, combining results from a rapid assessment of eight rural districts in Rajasthan with a regression analysis of data from Rajasthan State (sample size 41,965 women) from the Demographic and Health Survey 7 dataset (2015-2016). The results of the rapid survey indicate that women who cook with biofuels perceive adverse health outcomes. Educational level, income, and age have an impact on fuel consumption and clean fuel purchased. The regression model drawing upon data on women at a regional level in Rajasthan yielded significant results suggesting a strong association between fuel type and symptoms of respiratory infection controlling for age and education. This research is timely as it provides valuable evidence for India's Ujjawala Scheme which has the mandate of providing LPG connections to women from below the poverty line.
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Affiliation(s)
- Priti Parikh
- Civil, Environment and Geomatic Engineering, University College London, London WC1E 6DE, UK.
| | - Corina Shika Kwami
- Civil, Environment and Geomatic Engineering, University College London, London WC1E 6DE, UK
| | - Vivekanand Vivekanand
- Centre for Energy and Environment, Malaviya National Institute of Technology, Jaipur, Rajasthan 302017, India
| | - Kunwar Paritosh
- Centre for Energy and Environment, Malaviya National Institute of Technology, Jaipur, Rajasthan 302017, India
| | - Monica Lakhanpaul
- Great Ormond Street Institute of Child Health, University College London, London WC1E 6DE, UK
- The Whittington Health NHS Trust, The Whittington Hospital, Magdala Avenue, London N19 5NF, UK
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29
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Hill LD, Pillarisetti A, Delapena S, Garland C, Pennise D, Pelletreau A, Koetting P, Motmans T, Vongnakhone K, Khammavong C, Boatman MR, Balmes J, Hubbard A, Smith KR. Machine-learned modeling of PM 2.5 exposures in rural Lao PDR. THE SCIENCE OF THE TOTAL ENVIRONMENT 2019; 676:811-822. [PMID: 31071563 DOI: 10.1016/j.scitotenv.2019.04.258] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/17/2019] [Revised: 03/30/2019] [Accepted: 04/17/2019] [Indexed: 05/05/2023]
Abstract
This study presents a machine-learning-enhanced method of modeling PM2.5 personal exposures in a data-scarce, rural, solid fuel use context. Data collected during a cookstove (Africa Clean Energy (ACE)-1 solar-battery-powered stove) intervention program in rural Lao PDR are presented and leveraged to explore advanced techniques for predicting personal exposures to particulate matter with aerodynamic diameter smaller than 2.5 μm (PM2.5). Mean 48-h PM2.5 exposure concentrations for female cooks were measured for the pre- and post-intervention periods (the "Before" and "After" periods, respectively) as 123 μg/m3 and 81 μg/m3. Mean 48-h PM2.5 kitchen air pollution ("KAP") concentrations were measured at 462 μg/m3 Before and 124 μg/m3 After. Application of machine learning and ensemble modeling demonstrated cross-validated personal exposure predictions that were modest at the individual level but reasonably strong at the group level, with the best models producing an observed vs. predicted r2 between 0.26 and 0.31 (r2 = 0.49 when using a smaller, un-imputed dataset) and mean Before estimates of 119-120 μg/m3 and After estimates of 86-88 μg/m3. This offered improvement over one typical method of predicting exposure - using a kitchen exposure factor (the ratio of exposure to KAP)- which demonstrated an r2 ~ 0.03 and poorly estimated group average values. The results of these analyses highlight areas of methodological improvement for future exposure assessments of household air pollution and provide evidence for researchers to explore the advantages of further incorporating machine learning methods into similar research across wider geographic and cultural contexts.
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Affiliation(s)
- L D Hill
- Division of Environmental Health Sciences, School of Public Health, University of California, Berkeley, 2121 Berkeley Way #5302, Berkeley, CA 94720, USA.
| | - A Pillarisetti
- Division of Environmental Health Sciences, School of Public Health, University of California, Berkeley, 2121 Berkeley Way #5302, Berkeley, CA 94720, USA
| | - S Delapena
- Berkeley Air Monitoring Group, Inc., 1900 Addison St #350, Berkeley, CA 94704, USA
| | - C Garland
- Berkeley Air Monitoring Group, Inc., 1900 Addison St #350, Berkeley, CA 94704, USA
| | - D Pennise
- Berkeley Air Monitoring Group, Inc., 1900 Addison St #350, Berkeley, CA 94704, USA
| | - A Pelletreau
- Lao Institute for Renewable Energy, Ban Watnak Lao-Thai Friendship Road, Sisattanak District, Vientiane, Lao People's Democratic Republic
| | - P Koetting
- Lao Institute for Renewable Energy, Ban Watnak Lao-Thai Friendship Road, Sisattanak District, Vientiane, Lao People's Democratic Republic
| | - T Motmans
- Lao Institute for Renewable Energy, Ban Watnak Lao-Thai Friendship Road, Sisattanak District, Vientiane, Lao People's Democratic Republic
| | - K Vongnakhone
- Lao Institute for Renewable Energy, Ban Watnak Lao-Thai Friendship Road, Sisattanak District, Vientiane, Lao People's Democratic Republic
| | - C Khammavong
- Lao Institute for Renewable Energy, Ban Watnak Lao-Thai Friendship Road, Sisattanak District, Vientiane, Lao People's Democratic Republic
| | - M R Boatman
- Geo-Sys (Lao) Co., Ltd, 136/9, Hom 7, Sokphaluang Village, Sisattanak District, Vientiane, Lao People's Democratic Republic
| | - J Balmes
- Division of Environmental Health Sciences, School of Public Health, University of California, Berkeley, 2121 Berkeley Way #5302, Berkeley, CA 94720, USA; Department of Medicine, University of California, San Francisco, 505 Parnassus Ave, San Francisco, CA 94143, USA
| | - A Hubbard
- Division of Epidemiology and Biostatistics, School of Public Health, University of California, Berkeley, 2121 Berkeley Way #5302, Berkeley, CA 94720, USA
| | - K R Smith
- Division of Environmental Health Sciences, School of Public Health, University of California, Berkeley, 2121 Berkeley Way #5302, Berkeley, CA 94720, USA
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30
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Attributing Air Pollutant Exposure to Emission Sources with Proximity Sensing. ATMOSPHERE 2019. [DOI: 10.3390/atmos10070395] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Biomass burning for home energy use contributes to negative health outcomes and environmental degradation. As part of the REACCTING study (Research on Emissions, Air quality, Climate, and Cooking Technologies in Northern Ghana), personal exposure to carbon monoxide (CO) was measured to gauge the effects of introducing two different cookstove types over four intervention groups. A novel Bluetooth Low-Energy (BLE) Beacon system was deployed on a subset of those CO measurement periods to estimate participants’ distances to their most-used cooking areas during the sampling periods. In addition to presenting methods and validation for the BLE Beacon system, here we present pollution exposure assessment modeling results using two different approaches, in which time-activity (proximity) data is used to: (1) better understand exposure and behaviors within and away from homes; and (2) predict personal exposure via microenvironment air quality measurements. Model fits were improved in both cases, demonstrating the benefits of the proximity measurements.
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31
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Rivas I, Fussell JC, Kelly FJ, Querol X. Indoor Sources of Air Pollutants. INDOOR AIR POLLUTION 2019. [DOI: 10.1039/9781788016179-00001] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/30/2023]
Abstract
People spend an average of 90% of their time in indoor environments. There is a long list of indoor sources that can contribute to increased pollutant concentrations, some of them related to human activities (e.g. people's movement, cooking, cleaning, smoking), but also to surface chemistry reactions with human skin and building and furniture surfaces. The result of all these emissions is a heterogeneous cocktail of pollutants with varying degrees of toxicity, which makes indoor air quality a complex system. Good characterization of the sources that affect indoor air pollution levels is of major importance for quantifying (and reducing) the associated health risks. This chapter reviews some of the more significant indoor sources that can be found in the most common non-occupational indoor environments.
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Pathak U, Kumar R, Suri TM, Suri JC, Gupta NC, Pathak S. Impact of biomass fuel exposure from traditional stoves on lung functions in adult women of a rural Indian village. Lung India 2019; 36:376-383. [PMID: 31464208 PMCID: PMC6710971 DOI: 10.4103/lungindia.lungindia_477_18] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023] Open
Abstract
Introduction Exposure to biomass fuel (BMF) from traditional cookstoves inflicts an enormous burden of morbidities in women across the developing world. This study aims to assess the lung function and its association with the indoor air pollutants generated using BMF. Materials and Methods This cross-sectional study including 310 women was conducted in a rural village of India. Households were divided into two groups based on the cooking fuel, the BMF group and the liquefied petroleum gas (LPG) group. Information on respiratory symptoms and socioeconomic status was obtained using a standard questionnaire. Indoor air concentration for PM10and PM2.5was measured during cooking hours. Pulmonary function tests (PFTs) were conducted for the women inhabitants. Results On comparing the two groups, the concentration of PM10(890.26 ± 59.59 vs. 148.66 ± 31.97) μg/m3 and PM2.5(728.90 ± 50.20 vs. 99.76 ± 41.80) μg/m3 (P < 0.01) were higher in the group using BMF. The respiratory symptoms such as wheezing, dyspnea, chronic cough, and nocturnal cough, were significantly more common in the group using BMF. A significant difference was seen in the lung function indices between the two groups. A significant negative correlation of respiratory indices with duration of exposure and the particulate matter (PM) values suggested a greater decline on lung function among women exposed to increased concentrations of PM. On comparing participants with normal and abnormal PFT, it was seen that the use of BMF (odds ratio [OR] 8.01; 95% confidence interval [CI] 4.80, 13.36, P < 0.001) and the duration of exposure to BMF (OR 1.16; 95% CI 1.13, 1.20., P < 0.001) increased the odds of having an abnormal PFT. Conclusions This study shows a high prevalence of respiratory symptoms and an abnormal pulmonary function in women exposed to BMF.
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Affiliation(s)
- Utkarsha Pathak
- University School of Environment Management, Guru Gobind Singh Indraprastha University, Dwarka, New Delhi, India
| | - Rohit Kumar
- Department of Pulmonary, Critical Care and Sleep Medicine, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India
| | - Tejas M Suri
- Department of Pulmonary, Critical Care and Sleep Medicine, AlIMS, New Delhi, India
| | - J C Suri
- Department of Pulmonary, Critical Care and Sleep Medicine, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India
| | - N C Gupta
- University School of Environment Management, Guru Gobind Singh Indraprastha University, Dwarka, New Delhi, India
| | - Sharmishtha Pathak
- Department of Neuroanaesthesiology and Neuro Critical Care, AIIMS, New Delhi, India
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Balakrishnan K, Dey S, Gupta T, Dhaliwal RS, Brauer M, Cohen AJ, Stanaway JD, Beig G, Joshi TK, Aggarwal AN, Sabde Y, Sadhu H, Frostad J, Causey K, Godwin W, Shukla DK, Kumar GA, Varghese CM, Muraleedharan P, Agrawal A, Anjana RM, Bhansali A, Bhardwaj D, Burkart K, Cercy K, Chakma JK, Chowdhury S, Christopher DJ, Dutta E, Furtado M, Ghosh S, Ghoshal AG, Glenn SD, Guleria R, Gupta R, Jeemon P, Kant R, Kant S, Kaur T, Koul PA, Krish V, Krishna B, Larson SL, Madhipatla K, Mahesh PA, Mohan V, Mukhopadhyay S, Mutreja P, Naik N, Nair S, Nguyen G, Odell CM, Pandian JD, Prabhakaran D, Prabhakaran P, Roy A, Salvi S, Sambandam S, Saraf D, Sharma M, Shrivastava A, Singh V, Tandon N, Thomas NJ, Torre A, Xavier D, Yadav G, Singh S, Shekhar C, Vos T, Dandona R, Reddy KS, Lim SS, Murray CJL, Venkatesh S, Dandona L. The impact of air pollution on deaths, disease burden, and life expectancy across the states of India: the Global Burden of Disease Study 2017. Lancet Planet Health 2019; 3:e26-e39. [PMID: 30528905 PMCID: PMC6358127 DOI: 10.1016/s2542-5196(18)30261-4] [Citation(s) in RCA: 266] [Impact Index Per Article: 53.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2018] [Revised: 10/18/2018] [Accepted: 11/02/2018] [Indexed: 05/19/2023]
Abstract
BACKGROUND Air pollution is a major planetary health risk, with India estimated to have some of the worst levels globally. To inform action at subnational levels in India, we estimated the exposure to air pollution and its impact on deaths, disease burden, and life expectancy in every state of India in 2017. METHODS We estimated exposure to air pollution, including ambient particulate matter pollution, defined as the annual average gridded concentration of PM2.5, and household air pollution, defined as percentage of households using solid cooking fuels and the corresponding exposure to PM2.5, across the states of India using accessible data from multiple sources as part of the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2017. The states were categorised into three Socio-demographic Index (SDI) levels as calculated by GBD 2017 on the basis of lag-distributed per-capita income, mean education in people aged 15 years or older, and total fertility rate in people younger than 25 years. We estimated deaths and disability-adjusted life-years (DALYs) attributable to air pollution exposure, on the basis of exposure-response relationships from the published literature, as assessed in GBD 2017; the proportion of total global air pollution DALYs in India; and what the life expectancy would have been in each state of India if air pollution levels had been less than the minimum level causing health loss. FINDINGS The annual population-weighted mean exposure to ambient particulate matter PM2·5 in India was 89·9 μg/m3 (95% uncertainty interval [UI] 67·0-112·0) in 2017. Most states, and 76·8% of the population of India, were exposed to annual population-weighted mean PM2·5 greater than 40 μg/m3, which is the limit recommended by the National Ambient Air Quality Standards in India. Delhi had the highest annual population-weighted mean PM2·5 in 2017, followed by Uttar Pradesh, Bihar, and Haryana in north India, all with mean values greater than 125 μg/m3. The proportion of population using solid fuels in India was 55·5% (54·8-56·2) in 2017, which exceeded 75% in the low SDI states of Bihar, Jharkhand, and Odisha. 1·24 million (1·09-1·39) deaths in India in 2017, which were 12·5% of the total deaths, were attributable to air pollution, including 0·67 million (0·55-0·79) from ambient particulate matter pollution and 0·48 million (0·39-0·58) from household air pollution. Of these deaths attributable to air pollution, 51·4% were in people younger than 70 years. India contributed 18·1% of the global population but had 26·2% of the global air pollution DALYs in 2017. The ambient particulate matter pollution DALY rate was highest in the north Indian states of Uttar Pradesh, Haryana, Delhi, Punjab, and Rajasthan, spread across the three SDI state groups, and the household air pollution DALY rate was highest in the low SDI states of Chhattisgarh, Rajasthan, Madhya Pradesh, and Assam in north and northeast India. We estimated that if the air pollution level in India were less than the minimum causing health loss, the average life expectancy in 2017 would have been higher by 1·7 years (1·6-1·9), with this increase exceeding 2 years in the north Indian states of Rajasthan, Uttar Pradesh, and Haryana. INTERPRETATION India has disproportionately high mortality and disease burden due to air pollution. This burden is generally highest in the low SDI states of north India. Reducing the substantial avoidable deaths and disease burden from this major environmental risk is dependent on rapid deployment of effective multisectoral policies throughout India that are commensurate with the magnitude of air pollution in each state. FUNDING Bill & Melinda Gates Foundation; and Indian Council of Medical Research, Department of Health Research, Ministry of Health and Family Welfare, Government of India.
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Rabha R, Ghosh S, Padhy PK. Indoor air pollution in rural north-east India: Elemental compositions, changes in haematological indices, oxidative stress and health risks. ECOTOXICOLOGY AND ENVIRONMENTAL SAFETY 2018; 165:393-403. [PMID: 30218962 DOI: 10.1016/j.ecoenv.2018.09.014] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/25/2018] [Revised: 08/27/2018] [Accepted: 09/01/2018] [Indexed: 06/08/2023]
Abstract
Chronic smoke exposure, emitted by biomass fuel burning leads to many diseases, which are originated due to oxidative stress. The present study investigated the levels of PM2.5, PM10 and PM2.5 bound trace metals released during cooking with fuelwood and subsequent changes in haematological parameters along with oxidative stress in rural tribal women of northeast India exposed to wood smoke. The levels of PM2.5, PM10 and trace metals associated with PM2.5 (nickel, cobalt, manganese, zinc, cadmium, lead and copper) were measured. In addition, blood samples were analyzed for concentrations of different blood related parameters (haemoglobin, platelet count, red blood cells and white blood cells) and levels of antioxidants (reduced glutathione, superoxide dismutase, and catalase). Plasma malondialdehyde (MDA) was measured as a biomarker of lipid peroxidation. Health risk assessment was done to assess the potential risk posed by inhalation of fine particles emitted from cooking with fuel wood. Levels of both PM2.5 and PM10 were higher in wood users compared to LPG users during cooking period (644.4 ± 368.3 µg/m³ vs 50 ± 23.8 µg/m³; 915 ± 441.3 µg/m³ vs 83.3 ± 33 µg/m³) and it exceeded the permissible limits of WHO. Levels of trace metals during the cooking period in fuel wood users were significantly higher than LPG users (p = 0.01). After controlling possible confounders, both platelet count and white blood cells (WBC) had a significant positive association with PM2.5and PM10. Similarly, haemoglobin had a negative association with both PM2.5 and PM10. Depleted levels of antioxidant enzymes and increase in lipid peroxidation (MDA) suggest a close association with pollutants released from wood smoke, indicating oxidative stress in women who used fuelwood for cooking. The total hazard quotient (HQ) of 0.11 was within the acceptable limit (i.e., 1.0). The total excess lifetime cancer risk (ELCR) was 5.4 × 10-6 which is five times higher than the acceptable limit of 1.0 × 10-6. Individual carcinogenic risk of Ni (2.3 × 10-6) and Cd (3.1 × 10-6) were also higher compared to acceptable limit. These results indicate that tribal women cooking with wood are at greater risk of developing cancer and also give support to the positive association between wood smoke and oxidative stress.
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Affiliation(s)
- Rumi Rabha
- Department of Environmental Studies, Institute of Science, Visva-Bharati, Santiniketan 731235, West Bengal, India
| | - Suraj Ghosh
- Department of Environmental Studies, Institute of Science, Visva-Bharati, Santiniketan 731235, West Bengal, India
| | - Pratap Kumar Padhy
- Department of Environmental Studies, Institute of Science, Visva-Bharati, Santiniketan 731235, West Bengal, India.
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Milà C, Salmon M, Sanchez M, Ambrós A, Bhogadi S, Sreekanth V, Nieuwenhuijsen M, Kinra S, Marshall JD, Tonne C. When, Where, and What? Characterizing Personal PM 2.5 Exposure in Periurban India by Integrating GPS, Wearable Camera, and Ambient and Personal Monitoring Data. ENVIRONMENTAL SCIENCE & TECHNOLOGY 2018; 52:13481-13490. [PMID: 30378432 DOI: 10.1021/acs.est.8b03075] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/03/2023]
Abstract
Evidence identifying factors that influence personal exposure to air pollutants in low- and middle-income countries is scarce. Our objective was to identify the relative contribution of the time of the day ( when?), location ( where?), and individuals' activities ( what?) to PM2.5 personal exposure in periurban South India. We conducted a panel study in which 50 participants were monitored in up to six 24-h sessions ( n = 227). We integrated data from multiple sources: continuous personal and ambient PM2.5 concentrations; questionnaire, GPS, and wearable camera data; and modeled long-term exposure at residence. Mean 24-h personal exposure was 43.8 μg/m3 (SD 24.6) for men and 39.7 μg/m3 (SD 12.0) for women. Temporal patterns in exposure varied between women (peak exposure in the morning) and men (more exposed throughout the rest of the day). Most exposure occurred at home, 67% for men and 89% for women, which was proportional to the time spent in this location. Ambient daily PM2.5 was an important predictor of 24-h personal exposure for both genders. Among men, activities predictive of higher hourly average exposure included presence near food preparation, in the kitchen, in the vicinity of smoking, or in industry. For women, predictors of exposure were largely related to cooking.
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Affiliation(s)
- Carles Milà
- ISGlobal , Universitat Pompeu Fabra, CIBER Epidemiología y Salud Pública, Barcelona 08003 , Spain
| | - Maëlle Salmon
- ISGlobal , Universitat Pompeu Fabra, CIBER Epidemiología y Salud Pública, Barcelona 08003 , Spain
| | - Margaux Sanchez
- ISGlobal , Universitat Pompeu Fabra, CIBER Epidemiología y Salud Pública, Barcelona 08003 , Spain
| | - Albert Ambrós
- ISGlobal , Universitat Pompeu Fabra, CIBER Epidemiología y Salud Pública, Barcelona 08003 , Spain
| | - Santhi Bhogadi
- Public Health Foundation of India , Gurgaon 122002 , Haryana India
| | - V Sreekanth
- Department of Civil and Environmental Engineering , University of Washington , Seattle , Washington 98195-2700 , United States
| | - Mark Nieuwenhuijsen
- ISGlobal , Universitat Pompeu Fabra, CIBER Epidemiología y Salud Pública, Barcelona 08003 , Spain
| | - Sanjay Kinra
- Department of Non-communicable Disease Epidemiology , London School of Hygiene and Tropical Medicine , London WC1E 7HT , U.K
| | - Julian D Marshall
- Department of Civil and Environmental Engineering , University of Washington , Seattle , Washington 98195-2700 , United States
| | - Cathryn Tonne
- ISGlobal , Universitat Pompeu Fabra, CIBER Epidemiología y Salud Pública, Barcelona 08003 , Spain
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Saha P, Johny E, Dangi A, Shinde S, Brake S, Eapen MS, Sohal SS, Naidu V, Sharma P. Impact of Maternal Air Pollution Exposure on Children's Lung Health: An Indian Perspective. TOXICS 2018; 6:toxics6040068. [PMID: 30453488 PMCID: PMC6315719 DOI: 10.3390/toxics6040068] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/28/2018] [Revised: 11/10/2018] [Accepted: 11/12/2018] [Indexed: 12/12/2022]
Abstract
Air pollution has become an emerging invisible killer in recent years and is a major cause of morbidity and mortality globally. More than 90% of the world’s children breathe toxic air every day. India is among the top ten most highly polluted countries with an average PM10 level of 134 μg/m3 per year. It is reported that 99% of India’s population encounters air pollution levels that exceed the World Health Organization Air Quality Guideline, advising a PM2.5 permissible level of 10 μg/m3. Maternal exposure to air pollution has serious health outcomes in offspring because it can affect embryonic phases of development during the gestation period. A fetus is more prone to effects from air pollution during embryonic developmental phases due to resulting oxidative stress as antioxidant mechanisms are lacking at that stage. Any injury during this vulnerable period (embryonic phase) will have a long-term impact on offspring health, both early and later in life. Epidemiological studies have revealed that maternal exposure to air pollution increases the risk of development of airway disease in the offspring due to impaired lung development in utero. In this review, we discuss cellular mechanisms involved in maternal exposure to air pollution and how it can impact airway disease development in offspring. A better understanding of these mechanisms in the context of maternal exposure to air pollution can offer a new avenue to prevent the development of airway disease in offspring.
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Affiliation(s)
- Pritam Saha
- Department of Pharmacology, National Institute of Pharmaceutical Education and Research, Guwahati 781125, Assam, India.
| | - Ebin Johny
- Department of Pharmacy Practice, National Institute of Pharmaceutical Education and Research, Guwahati 781125, Assam, India.
| | - Ashish Dangi
- Department of Pharmacology, National Institute of Pharmaceutical Education and Research, Guwahati 781125, Assam, India.
| | - Sopan Shinde
- Department of Pharmacology, National Institute of Pharmaceutical Education and Research, Guwahati 781125, Assam, India.
| | - Samuel Brake
- Respiratory Translational Research Group, Department of Laboratory Medicine, School of Health Sciences, University of Tasmania, Launceston 7248, Tasmania, Australia.
| | - Mathew Suji Eapen
- Respiratory Translational Research Group, Department of Laboratory Medicine, School of Health Sciences, University of Tasmania, Launceston 7248, Tasmania, Australia.
| | - Sukhwinder Singh Sohal
- Respiratory Translational Research Group, Department of Laboratory Medicine, School of Health Sciences, University of Tasmania, Launceston 7248, Tasmania, Australia.
| | - Vgm Naidu
- Department of Pharmacology, National Institute of Pharmaceutical Education and Research, Guwahati 781125, Assam, India.
| | - Pawan Sharma
- Medical Sciences, School of Life Sciences, Faculty of Science, University of Technology Sydney, Sydney, NSW 2007, Australia.
- Woolcock Emphysema Centre, Woolcock Institute of Medical Research, The University of Sydney, Sydney, NSW 2037, Australia.
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Aunan K, Ma Q, Lund MT, Wang S. Population-weighted exposure to PM 2.5 pollution in China: An integrated approach. ENVIRONMENT INTERNATIONAL 2018; 120:111-120. [PMID: 30077943 DOI: 10.1016/j.envint.2018.07.042] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/22/2018] [Revised: 07/19/2018] [Accepted: 07/27/2018] [Indexed: 05/22/2023]
Abstract
Fine particulate matter air pollution (PM2.5) is a major risk factor for premature death globally. Studies of the PM2.5 health burden usually treat exposure to ambient air pollution (AAP) and household air pollution from solid fuels (HAP) as separate risk factors. AAP and HAP can, however, be closely interrelated. Taking as the starting point that the total exposure to PM2.5 is what matters for health, and recognizing the curvilinear form of exposure-response functions for important health effects, we develop a method for estimating the total annual mean population-weighted personal exposure, denoted integrated population-weighted exposure (IPWE). To establish the IPWE in China, we used recent emission inventories, Chemical Transport Models, China Census data on population and residential fuel use, and estimates of the PM2.5 exposure among solid fuel users. We found an IPWE of 151 [123-179] μg/m3, of which 62-74% was attributable to residential solid fuels through HAP exposure and the residential sector emissions' contribution to AAP. We found large disparities in the PM2.5 exposure burden, with an estimated IPWE in rural populations nearly twice the level in urban populations. Using the IPWE metric, we estimated that 1.15 [1.09-1.19] million premature deaths were attributable to PM2.5 exposure annually in the period 2010-2013. Using the same data set, but calculating premature deaths from AAP and HAP in isolation, the estimated number was nearly 50% higher. The IPWE metric enables integration across AAP and HAP in policy analyses and could mitigate the concern of a potential double counting of the health burden that may arise from treating AAP and HAP as separate health risk factors.
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Affiliation(s)
- Kristin Aunan
- Center for International Climate Research (CICERO), P.O. Box 1129 Blindern, N-0318 Oslo, Norway.
| | - Qiao Ma
- State Key Joint Laboratory of Environment Simulation and Pollution Control, School of Environment, Tsinghua University, Beijing 100084, China
| | - Marianne T Lund
- Center for International Climate Research (CICERO), P.O. Box 1129 Blindern, N-0318 Oslo, Norway
| | - Shuxiao Wang
- State Key Joint Laboratory of Environment Simulation and Pollution Control, School of Environment, Tsinghua University, Beijing 100084, China
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Chakraborty D, Mondal NK. Hypertensive and toxicological health risk among women exposed to biomass smoke: A rural Indian scenario. ECOTOXICOLOGY AND ENVIRONMENTAL SAFETY 2018; 161:706-714. [PMID: 29940511 DOI: 10.1016/j.ecoenv.2018.06.024] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/21/2018] [Revised: 05/26/2018] [Accepted: 06/09/2018] [Indexed: 06/08/2023]
Abstract
This study shows that exposure to air pollutants from indoor cooking fuel combustion may be associated with elevated Diastolic Blood Pressure (DBP), Systolic Blood Pressure (SBP), Heart rate and Body mass index (BMI) in rural women of India. 60 premenopausal women (using solely agriculture residues, wood, dung, straw, leaf) and 30 women (solely using clean fuel, LPG) were recruited for this study. An ethically approved questionnaire was used in the study and health parameters were measured by standard instruments. Eight pollutants were measured by calibrated instruments, applied both in the living room as well as kitchens of test-subjects. The Test-subjects were divided into two groups, LPG users, and biomass users, and the toxicological risk was assessed by measurement of PM2.5 levels in the given indoor environments. The concentrations of all the pollutants were significantly (p < 0.001) higher in biomass users than in LPG using households, except in the case of O3 (p < 0.403) at the time of cooking. Results highlighted that DBP (p < 0.070), SBP (p < 0.143), Heart rate (p < 0.002) and BMI (p < 0.052) were varied in the two fuel user groups. In the case of biomass fuel user toxicological risk was higher (5.21) than LPG users (0.69). Moreover, Symptoms like asthma (25%), cough (76.67%), dizziness (36.67%), eye irritation (88.33%), and shortness of breath (43.33%) were highly prevalent among biomass users than in LPG users. The study highlighted that Biomass using women are more prone to cardiovascular disease and policies should be formulated for their sustainable health.
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Affiliation(s)
- Deep Chakraborty
- Environmental Chemistry Laboratory, Department of Environmental Science, The University of Burdwan, 713104, India
| | - Naba Kumar Mondal
- Environmental Chemistry Laboratory, Department of Environmental Science, The University of Burdwan, 713104, India.
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Matawle JL, Pervez S, Deb MK, Shrivastava A, Tiwari S. PM 2.5 pollution from household solid fuel burning practices in Central India: 2. Application of receptor models for source apportionment. ENVIRONMENTAL GEOCHEMISTRY AND HEALTH 2018; 40:145-161. [PMID: 27807676 DOI: 10.1007/s10653-016-9889-y] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/31/2016] [Accepted: 10/18/2016] [Indexed: 06/06/2023]
Abstract
USEPA's UNMIX, positive matrix factorization (PMF) and effective variance-chemical mass balance (EV-CMB) receptor models were applied to chemically speciated profiles of 125 indoor PM2.5 measurements, sampled longitudinally during 2012-2013 in low-income group households of Central India which uses solid fuels for cooking practices. Three step source apportionment studies were carried out to generate more confident source characterization. Firstly, UNMIX6.0 extracted initial number of source factors, which were used to execute PMF5.0 to extract source-factor profiles in second step. Finally, factor analog locally derived source profiles were supplemented to EV-CMB8.2 with indoor receptor PM2.5 chemical profile to evaluate source contribution estimates (SCEs). The results of combined use of three receptor models clearly describe that UNMIX and PMF are useful tool to extract types of source categories within small receptor dataset and EV-CMB can pick those locally derived source profiles for source apportionment which are analog to PMF-extracted source categories. The source apportionment results have also shown three fold higher relative contribution of solid fuel burning emissions to indoor PM2.5 compared to those measurements reported for normal households with LPG stoves. The previously reported influential source marker species were found to be comparatively similar to those extracted from PMF fingerprint plots. The comparison between PMF and CMB SCEs results were also found to be qualitatively similar. The performance fit measures of all three receptor models were cross-verified and validated and support each other to gain confidence in source apportionment results.
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Affiliation(s)
- Jeevan Lal Matawle
- School of Studies in Chemistry, Pt. Ravishankar Shukla University, Raipur, Chattisgarh, 492010, India
- Directorate of Geology and Mining, Chhattisgarh, Regional Laboratory, Jagdalpur, Chattisgarh, 494001, India
| | - Shamsh Pervez
- School of Studies in Chemistry, Pt. Ravishankar Shukla University, Raipur, Chattisgarh, 492010, India.
| | - Manas Kanti Deb
- School of Studies in Chemistry, Pt. Ravishankar Shukla University, Raipur, Chattisgarh, 492010, India
| | - Anjali Shrivastava
- National Environmental Engineering Research Institute, Nehru Marg, Nagpur, Maharashtra, 440020, India
| | - Suresh Tiwari
- Indian Institute of Tropical and Meteorology (IITM), New Delhi, India
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Balakrishnan K, Ghosh S, Thangavel G, Sambandam S, Mukhopadhyay K, Puttaswamy N, Sadasivam A, Ramaswamy P, Johnson P, Kuppuswamy R, Natesan D, Maheshwari U, Natarajan A, Rajendran G, Ramasami R, Madhav S, Manivannan S, Nargunanadan S, Natarajan S, Saidam S, Chakraborty M, Balakrishnan L, Thanasekaraan V. Exposures to fine particulate matter (PM 2.5) and birthweight in a rural-urban, mother-child cohort in Tamil Nadu, India. ENVIRONMENTAL RESEARCH 2018; 161:524-531. [PMID: 29227900 DOI: 10.1016/j.envres.2017.11.050] [Citation(s) in RCA: 36] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/23/2017] [Revised: 11/21/2017] [Accepted: 11/28/2017] [Indexed: 05/21/2023]
Abstract
BACKGROUND Exposure to PM2.5 (fine particulate matter <less than 2.5µm in aerodynamic diameter) related to ambient and household air pollution has been associated with low birthweight. Few of these studies, however, have been conducted in high exposure settings that are commonly encountered in low and middle income countries (LMICs). OBJECTIVES We examined whether PM2.5 exposures during pregnancy were associated with birthweight in an integrated rural-urban, mother-child cohort in the state of Tamil Nadu, India. METHODS We recruited 1285 pregnant women in the first trimester of pregnancy from primary health care centers and urban health posts and followed them until birth to collect antenatal care data and birthweight. We estimated pregnancy period PM 2.5 exposures through direct serial measurements of 24-h household PM2.5 concentrations, performed across each trimester. Mothers also completed detailed questionnaires to provide data on covariates related to household, socio-economic, demographic and maternal health characteristics. The association between PM2.5 exposures and birth weight was assessed using linear and logistic regression models that controlled for potential confounders. RESULTS A 10-μg/m3 increase in pregnancy period PM2.5 exposures was associated with a 4g (95% CI: 1.08g, 6.76g) decrease in birthweight and 2% increase in prevalence of low birthweight [odds ratio(OR) = 1.02; 95%CI:1.005,1.041] after adjusting for gestational age, infant sex, maternal BMI, maternal age, history of a previous low birth weight child, birth order and season of conception. CONCLUSIONS The study provides some of the first quantitative effects estimates for linking rural-urban PM2.5 exposures and birthweight in India, adding important evidence for this association from high exposure settings in LMICs, that also experience dual health burdens from ambient and household air pollution. Study results also point to the need for considering maternal PM2.5 exposures alongside other risk factors for low birthweight in India.
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Affiliation(s)
- Kalpana Balakrishnan
- SRU-ICMR Center for Advanced Research on Air Quality, Climate and Health, Sri Ramachandra University, Chennai, India.
| | - Santu Ghosh
- SRU-ICMR Center for Advanced Research on Air Quality, Climate and Health, Sri Ramachandra University, Chennai, India
| | - Gurusamy Thangavel
- SRU-ICMR Center for Advanced Research on Air Quality, Climate and Health, Sri Ramachandra University, Chennai, India
| | - Sankar Sambandam
- SRU-ICMR Center for Advanced Research on Air Quality, Climate and Health, Sri Ramachandra University, Chennai, India
| | - Krishnendu Mukhopadhyay
- SRU-ICMR Center for Advanced Research on Air Quality, Climate and Health, Sri Ramachandra University, Chennai, India
| | - Naveen Puttaswamy
- SRU-ICMR Center for Advanced Research on Air Quality, Climate and Health, Sri Ramachandra University, Chennai, India
| | - Arulselvan Sadasivam
- SRU-ICMR Center for Advanced Research on Air Quality, Climate and Health, Sri Ramachandra University, Chennai, India
| | - Padmavathi Ramaswamy
- SRU-ICMR Center for Advanced Research on Air Quality, Climate and Health, Sri Ramachandra University, Chennai, India
| | - Priscilla Johnson
- SRU-ICMR Center for Advanced Research on Air Quality, Climate and Health, Sri Ramachandra University, Chennai, India
| | - Rajarajeswari Kuppuswamy
- SRU-ICMR Center for Advanced Research on Air Quality, Climate and Health, Sri Ramachandra University, Chennai, India
| | - Durairaj Natesan
- SRU-ICMR Center for Advanced Research on Air Quality, Climate and Health, Sri Ramachandra University, Chennai, India
| | - Uma Maheshwari
- SRU-ICMR Center for Advanced Research on Air Quality, Climate and Health, Sri Ramachandra University, Chennai, India
| | - Amudha Natarajan
- SRU-ICMR Center for Advanced Research on Air Quality, Climate and Health, Sri Ramachandra University, Chennai, India
| | - Gayathri Rajendran
- SRU-ICMR Center for Advanced Research on Air Quality, Climate and Health, Sri Ramachandra University, Chennai, India
| | - Rengaraj Ramasami
- SRU-ICMR Center for Advanced Research on Air Quality, Climate and Health, Sri Ramachandra University, Chennai, India
| | - Sathish Madhav
- SRU-ICMR Center for Advanced Research on Air Quality, Climate and Health, Sri Ramachandra University, Chennai, India
| | - Saraswathy Manivannan
- SRU-ICMR Center for Advanced Research on Air Quality, Climate and Health, Sri Ramachandra University, Chennai, India
| | - Srinivasan Nargunanadan
- SRU-ICMR Center for Advanced Research on Air Quality, Climate and Health, Sri Ramachandra University, Chennai, India
| | - Srinivasan Natarajan
- SRU-ICMR Center for Advanced Research on Air Quality, Climate and Health, Sri Ramachandra University, Chennai, India
| | - Sudhakar Saidam
- SRU-ICMR Center for Advanced Research on Air Quality, Climate and Health, Sri Ramachandra University, Chennai, India
| | - Moumita Chakraborty
- SRU-ICMR Center for Advanced Research on Air Quality, Climate and Health, Sri Ramachandra University, Chennai, India
| | - Lingeswari Balakrishnan
- SRU-ICMR Center for Advanced Research on Air Quality, Climate and Health, Sri Ramachandra University, Chennai, India
| | - Vijayalakshmi Thanasekaraan
- SRU-ICMR Center for Advanced Research on Air Quality, Climate and Health, Sri Ramachandra University, Chennai, India
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Das I, Pedit J, Handa S, Jagger P. Household air pollution (HAP), microenvironment and child health: Strategies for mitigating HAP exposure in urban Rwanda. ENVIRONMENTAL RESEARCH LETTERS : ERL [WEB SITE] 2018; 13:045011. [PMID: 29682002 PMCID: PMC5909824 DOI: 10.1088/1748-9326/aab047] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/05/2023]
Abstract
Exposure to household air pollution (HAP) from cooking and heating with solid fuels is major risk factor for morbidity and mortality in sub-Saharan Africa. Children under five are particularly at risk for acute lower respiratory infection. We use baseline data from randomized controlled trial evaluating a household energy intervention in Gisenyi, Rwanda to investigate the role of the microenvironment as a determinant of children's HAP-related health symptoms. Our sample includes 529 households, with 694 children under five. We examine the association between likelihood of HAP-related health symptom prevalence and characteristics of the microenvironment including: dwelling and cooking area structure; distance to nearest road; and tree cover. We find that children residing in groups of enclosed dwellings, in households that cook indoors, and in households proximate to tree cover, are significantly more likely to experience symptoms of respiratory infection, illness with cough and difficulty breathing. On the other hand, children in households with cemented floors and ventilation holes in the cooking area, are significantly less likely to experience the same symptoms. Our findings suggest that in addition to promoting increased access to clean cooking technologies, there are important infrastructure and micro-environment related interventions that mitigate HAP exposure.
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Affiliation(s)
- Ipsita Das
- Department of Public Policy, University of North Carolina at Chapel Hill (UNC- CH) Chapel Hill, North Carolina, USA
- Corresponding Author:
| | - Joseph Pedit
- Carolina Population Center, UNC-CH, Chapel Hill, North Carolina, USA
| | - Sudhanshu Handa
- Department of Public Policy, University of North Carolina at Chapel Hill (UNC- CH) Chapel Hill, North Carolina, USA
- Carolina Population Center, UNC-CH, Chapel Hill, North Carolina, USA
| | - Pamela Jagger
- Department of Public Policy, University of North Carolina at Chapel Hill (UNC- CH) Chapel Hill, North Carolina, USA
- Carolina Population Center, UNC-CH, Chapel Hill, North Carolina, USA
- Curriculum for the Environment and Ecology, UNC-CH, Chapel Hill, North Carolina, USA
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Soneja SI, Tielsch JM, Khatry SK, Zaitchik B, Curriero FC, Breysse PN. Characterizing Particulate Matter Exfiltration Estimates for Alternative Cookstoves in a Village-Like Household in Rural Nepal. ENVIRONMENTAL MANAGEMENT 2017; 60:797-808. [PMID: 28801708 DOI: 10.1007/s00267-017-0915-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/27/2016] [Accepted: 07/14/2017] [Indexed: 06/07/2023]
Abstract
Alternative stoves are an intervention option to reduce household air pollution. The amount of air pollution exiting homes when alternative stoves are utilized is not known. In this paper, particulate matter exfiltration estimates are presented for four types of alternative stoves within a village-like home, which was built to reflect the use of local materials and common size, in rural Nepal. Four alternative stoves with chimneys were examined, which included an alternative mud brick stove, original Envirofit G3355 model, manufacture altered Envirofit G3355, and locally altered Envirofit G3355. Multiple linear regression was utilized to determine estimates of PM2.5 exfiltration. Overall exfiltration fraction average (converted to a percent) for the four stoves were: alternative mud brick stove with chimney 56%, original Envirofit G3355 model with chimney 87%, manufacture altered Envirofit G3355 model with chimney 69%, and locally altered Envirofit G3355 model with chimney 69%. Alternative cookstoves resulted in higher overall average exfiltration due to direct and indirect ventilation relative to traditional, mud-based stoves. This contrast emphasizes the need for an improved understanding of the climate and health implications that are believed to come from implementing alternative stoves on a large scale and the resultant shift of exposure burden from indoors to outdoors.
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Affiliation(s)
- Sutyajeet I Soneja
- Department of Environmental Health Sciences, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, 21205, USA.
| | - James M Tielsch
- Department of Global Health, Milken School of Public Health and Health Services, George Washington University, Washington, DC, 20037, USA
| | | | - Benjamin Zaitchik
- Department of Earth and Planetary Sciences, Johns Hopkins University, Baltimore, MD, 21218, USA
| | - Frank C Curriero
- Department of Epidemiology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, 21205, USA
| | - Patrick N Breysse
- Department of Environmental Health Sciences, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, 21205, USA
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Accinelli RA, Leon-Abarca JA. Solid fuel use is associated with anemia in children. ENVIRONMENTAL RESEARCH 2017; 158:431-435. [PMID: 28689034 DOI: 10.1016/j.envres.2017.06.032] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/26/2017] [Revised: 05/20/2017] [Accepted: 06/26/2017] [Indexed: 06/07/2023]
Abstract
Over 3 billion people use solid fuels as a means of energy and heating source, and ~ 50% of households burn them in inefficient, poorly ventilated stoves. In 2010, ~ 43% of the 640 million preschool children in 220 countries suffered from a certain degree of anemia, with iron deficiency as the main cause in developed countries whereas its causes remained multifactorial in the undeveloped group. In this study, we explore the relations of country-wide variables that might affect the people's health status (from socioeconomic status to more specific variables such as water access). We found independent relationship between solid fuel use and anemia in children under five years old (p < 0.0001), taking into account the prevalence of anemia in pregnant woman and the access to improved water sources. Countries in which the population uses solid fuel the most have over three times higher anemia rates in children than countries with the lowest prevalence of solid fuels use. There is still a complex relationship between solid fuels use and anemia, as reflected in its worldwide significance (p < 0.05) controlled for measles immunization, tobacco consumption, anemia in pregnant mothers, girl's primary education, life expectancy and improved water access but not (p > 0.05) when weighing for sanitation access or income per capita.
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Affiliation(s)
- Roberto A Accinelli
- Hospital Cayetano Heredia, Peru; Instituto de Investigaciones de la Altura, Facultad de Medicina Alberto Hurtado, Universidad Peruana Cayetano Heredia, Lima, Peru.
| | - Juan A Leon-Abarca
- Instituto de Investigaciones de la Altura, Facultad de Medicina Alberto Hurtado, Universidad Peruana Cayetano Heredia, Lima, Peru
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Jafta N, Barregard L, Jeena PM, Naidoo RN. Indoor air quality of low and middle income urban households in Durban, South Africa. ENVIRONMENTAL RESEARCH 2017; 156:47-56. [PMID: 28319817 DOI: 10.1016/j.envres.2017.03.008] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/17/2017] [Revised: 03/03/2017] [Accepted: 03/04/2017] [Indexed: 06/06/2023]
Abstract
INTRODUCTION Elevated levels of indoor air pollutants may cause cardiopulmonary disease such as lower respiratory infection, chronic obstructive lung disease and lung cancer, but the association with tuberculosis (TB) is unclear. So far the risk estimates of TB infection or/and disease due to indoor air pollution (IAP) exposure are based on self-reported exposures rather than direct measurements of IAP, and these exposures have not been validated. OBJECTIVE The aim of this paper was to characterize and develop predictive models for concentrations of three air pollutants (PM10, NO2 and SO2) in homes of children participating in a childhood TB study. METHODS Children younger than 15 years living within the eThekwini Municipality in South Africa were recruited for a childhood TB case control study. The homes of these children (n=246) were assessed using a walkthrough checklist, and in 114 of them monitoring of three indoor pollutants was also performed (sampling period: 24h for PM10, and 2-3 weeks for NO2 and SO2). Linear regression models were used to predict PM10 and NO2 concentrations from household characteristics, and these models were validated using leave out one cross validation (LOOCV). SO2 concentrations were not modeled as concentrations were very low. RESULTS Mean indoor concentrations of PM10 (n=105), NO2 (n=82) and SO2 (n=82) were 64μg/m3 (range 6.6-241); 19μg/m3 (range 4.5-55) and 0.6μg/m3 (range 0.005-3.4) respectively with the distributions for all three pollutants being skewed to the right. Spearman correlations showed weak positive correlations between the three pollutants. The largest contributors to the PM10 predictive model were type of housing structure (formal or informal), number of smokers in the household, and type of primary fuel used in the household. The NO2 predictive model was influenced mostly by the primary fuel type and by distance from the major roadway. The coefficients of determination (R2) for the models were 0.41 for PM10 and 0.31 for NO2. Spearman correlations were significant between measured vs. predicted PM10 and NO2 with coefficients of 0.66 and 0.55 respectively. CONCLUSION Indoor PM10 levels were relatively high in these households. Both PM10 and NO2 can be modeled with a reasonable validity and these predictive models can decrease the necessary number of direct measurements that are expensive and time consuming.
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Affiliation(s)
- Nkosana Jafta
- Discipline of Occupational and Environmental Health, School of Nursing and Public Health, University of KwaZulu-Natal, 321 George Campbell Building, Howard College Campus, Durban 4041, South Africa.
| | - Lars Barregard
- Department of Occupational and Environmental Medicine, Sahlgrenska University Hospital and Sahlgrenska Academy at Gothenburg University, Box 414, S-405 30 Gothenburg, Sweden
| | - Prakash M Jeena
- Discipline of Pediatrics and Child Health, School of Clinical Medicine, University of KwaZulu-Natal, Private Bag X1, Congella, Durban 4013, South Africa
| | - Rajen N Naidoo
- Discipline of Occupational and Environmental Health, School of Nursing and Public Health, University of KwaZulu-Natal, 321 George Campbell Building, Howard College Campus, Durban 4041, South Africa
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Firewood, smoke and respiratory diseases in developing countries-The neglected role of outdoor cooking. PLoS One 2017; 12:e0178631. [PMID: 28658290 PMCID: PMC5489158 DOI: 10.1371/journal.pone.0178631] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2017] [Accepted: 05/16/2017] [Indexed: 12/21/2022] Open
Abstract
Smoke from cooking in the kitchen is one of the world’s leading causes of premature child death, claiming the lives of 500,000 children under five annually. This study analyses the role of outdoor cooking and the prevalence of respiratory diseases among children under five years by means of probit regressions using information from 41 surveys conducted in 30 developing countries from Asia, Africa and Latin America. I find that outdoor cooking reduces respiratory diseases among young children aged 0-4 by around 9 percent, an effect that reaches 13 percent among children aged 0-1. The results suggest that simple behavioral interventions, such as promoting outdoor cooking, can have a substantial impact on health hazards.
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Tonne C, Salmon M, Sanchez M, Sreekanth V, Bhogadi S, Sambandam S, Balakrishnan K, Kinra S, Marshall JD. Integrated assessment of exposure to PM 2.5 in South India and its relation with cardiovascular risk: Design of the CHAI observational cohort study. Int J Hyg Environ Health 2017; 220:1081-1088. [PMID: 28606699 DOI: 10.1016/j.ijheh.2017.05.005] [Citation(s) in RCA: 35] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2017] [Revised: 05/12/2017] [Accepted: 05/15/2017] [Indexed: 01/28/2023]
Abstract
While there is convincing evidence that fine particulate matter causes cardiovascular mortality and morbidity, little of the evidence is based on populations outside of high income countries, leaving large uncertainties at high exposures. India is an attractive setting for investigating the cardiovascular risk of particles across a wide concentration range, including concentrations for which there is the largest uncertainty in the exposure-response relationship. CHAI is a European Research Council funded project that investigates the relationship between particulate air pollution from outdoor and household sources with markers of atherosclerosis, an important cardiovascular pathology. The project aims to (1) characterize the exposure of a cohort of adults to particulate air pollution from household and outdoor sources (2) integrate information from GPS, wearable cameras, and continuous measurements of personal exposure to particles to understand where and through which activities people are most exposed and (3) quantify the association between particles and markers of atherosclerosis. CHAI has the potential to make important methodological contributions to modeling air pollution exposure integrating outdoor and household sources as well as in the application of wearable camera data in environmental exposure assessment.
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Affiliation(s)
- Cathryn Tonne
- Barcelona Institute for Global Health (ISGlobal), Barcelona, Spain, Spain; Universitat Pompeu Fabra (UPF), Barcelona, Spain; CIBER Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain.
| | - Maëlle Salmon
- Barcelona Institute for Global Health (ISGlobal), Barcelona, Spain, Spain; Universitat Pompeu Fabra (UPF), Barcelona, Spain; CIBER Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain
| | - Margaux Sanchez
- Barcelona Institute for Global Health (ISGlobal), Barcelona, Spain, Spain; Universitat Pompeu Fabra (UPF), Barcelona, Spain; CIBER Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain
| | - V Sreekanth
- Department of Civil and Environmental Engineering, University of Washington, Seattle, WA, United States
| | | | - Sankar Sambandam
- Department of Environmental Health Engineering, Sri Ramachandra University, Chennai, India
| | - Kalpana Balakrishnan
- Department of Environmental Health Engineering, Sri Ramachandra University, Chennai, India
| | - Sanjay Kinra
- Department of Non-communicable Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, UK
| | - Julian D Marshall
- Department of Civil and Environmental Engineering, University of Washington, Seattle, WA, United States
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Sulaiman C, Abdul-Rahim AS, Chin L, Mohd-Shahwahid HO. Wood fuel consumption and mortality rates in Sub-Saharan Africa: Evidence from a dynamic panel study. CHEMOSPHERE 2017; 177:224-231. [PMID: 28292722 DOI: 10.1016/j.chemosphere.2017.03.019] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/20/2016] [Revised: 03/05/2017] [Accepted: 03/06/2017] [Indexed: 06/06/2023]
Abstract
This study examined the impact of wood fuel consumption on health outcomes, specifically under-five and adult mortality in Sub-Saharan Africa, where wood usage for cooking and heating is on the increase. Generalized method of moment (GMM) estimators were used to estimate the impact of wood fuel consumption on under-five and adult mortality (and also male and female mortality) in the region. The findings revealed that wood fuel consumption had significant positive impact on under-five and adult mortality. It suggests that over the studied period, an increase in wood fuel consumption has increased the mortality of under-five and adult. Importantly, it indicated that the magnitude of the effect of wood fuel consumption was more on the under-five than the adults. Similarly, assessing the effect on a gender basis, it was revealed that the effect was more on female than male adults. This finding suggests that the resultant mortality from wood smoke related infections is more on under-five children than adults, and also are more on female adults than male adults. We, therefore, recommended that an alternative affordable, clean energy source for cooking and heating should be provided to reduce the wood fuel consumption.
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Affiliation(s)
- Chindo Sulaiman
- Faculty of Economics and Management, University Putra Malaysia, 43400 Serdang, Selangor, Malaysia; Department of Economics, Faculty of Social and Management Sciences, Bauchi State University Gadau, Nigeria.
| | - A S Abdul-Rahim
- Faculty of Economics and Management, University Putra Malaysia, 43400 Serdang, Selangor, Malaysia
| | - Lee Chin
- Faculty of Economics and Management, University Putra Malaysia, 43400 Serdang, Selangor, Malaysia
| | - H O Mohd-Shahwahid
- Faculty of Economics and Management, University Putra Malaysia, 43400 Serdang, Selangor, Malaysia
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Sidhu MK, Ravindra K, Mor S, John S. Household air pollution from various types of rural kitchens and its exposure assessment. THE SCIENCE OF THE TOTAL ENVIRONMENT 2017; 586:419-429. [PMID: 28209408 DOI: 10.1016/j.scitotenv.2017.01.051] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/26/2016] [Revised: 12/31/2016] [Accepted: 01/09/2017] [Indexed: 05/28/2023]
Abstract
Exposure to household air pollutants has become a leading environmental health risk in developing countries. Considering this, real-time temporal variation in fine particulate matter (PM2.5) and carbon monoxide (CO) concentrations were measured in various types of rural household kitchens. Observed average concentrations of PM2.5, CO, percent relative humidity (%RH) and temperature (T) in five different kitchen types were 549.6μg/m3, 4.2ppm, 70.2% and 20°C respectively. Highest CO and PM2.5 concentration were found in household performing cooking in indoor kitchens (CO: 9.3ppm; PM2.5: 696.5μg/m3) followed by outdoor kitchens (CO: 5.8ppm; PM2.5: 539.5μg/m3). The concentration of PM2.5 and CO varied according to the fuel type and highest concentration was observed in kitchens using cowdung cakes followed by agricultural residue>firewood>biogas>Liquefied Petroleum Gas (LPG). Results revealed that the pollutants concentration varied with kitchen type, fuel type and the location of kitchen. An exposure index was developed to calculate the exposure of cook, non-cook and children below 5years. Analysis of exposure index values shows that cooks, who use solid biomass fuel (SBF) in indoor kitchen, are four times more exposed to the harmful pollutants than the cooks using clean fuel. Further, using indoor PM2.5 concentrations, hazard quotient was calculated based on evaluation of intake concentration and toxicological risk, which also shows that SBF users have higher health risks (hazard quotient>1) than the clean fuel (LPG) users.
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Affiliation(s)
- Maninder Kaur Sidhu
- Department of Civil Engineering, PEC University of Technology, Chandigarh 160012, India
| | - Khaiwal Ravindra
- School of Public Health, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh 160012, India.
| | - Suman Mor
- Department of Environment Studies, Panjab University (PU), Chandigarh 160014, India; Centre for Public Health, Panjab University (PU), Chandigarh 160025, India
| | - Siby John
- Department of Civil Engineering, PEC University of Technology, Chandigarh 160012, India
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Health Risk Assessment of Indoor Air Quality, Socioeconomic and House Characteristics on Respiratory Health among Women and Children of Tirupur, South India. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2017; 14:ijerph14040429. [PMID: 28420188 PMCID: PMC5409630 DOI: 10.3390/ijerph14040429] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/15/2017] [Revised: 04/12/2017] [Accepted: 04/13/2017] [Indexed: 12/02/2022]
Abstract
Background: Indoor air pollution is still considered as one of the leading causes of morbidity and mortality worldwide and especially in developing countries, including India. This study aims to assess social, housing, and indoor environmental factors associated with respiratory health among mothers and children. Methods: The study was conducted in the city of Tirupur, South India. We quantitatively assessed the indoor exposure to fine particulate matter (PM2.5) and carbon monoxide in relation to respiratory health among women and children. Information on health status, household characteristics and socioeconomic factors was collected using a modified standardised questionnaire. Results: This study demonstrates the significant health impact of housing and socioeconomic characteristics on the burden of respiratory illness among women and children in urban South India. Increased respiratory symptoms were recorded among women and children from low income households, and those who allowed smoking inside. The mean PM2.5 concentration measured in this study was 3.8 mg/m3 which exceeded the World Health Organization (WHO) 24 h guideline value of 0.025 mg/m3. Conclusions: This study is the first to our knowledge carried out in urban South India and the findings can be used for future intervention studies.
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