Indoor air pollution from unprocessed solid fuel use and pneumonia risk in children aged under five years: a systematic review and meta-analysis (original) (raw)
Related papers
2020
The introduction of indoor air contamination rises danger of pneumonia among young people, which represents about one million passages worldwide. This review explores the individual impact of hard fuel, carbon monoxide, black carbon, and particulate matter on pneumonia in offspring under 6 years of age in low-and mid-income states. An effective survey remained carried out to recognize records with full and unlimited content to reflect the plan, language or year of production by means of ten databases (Integrated Local Information Networks, World Meteorological Organization-WHO and Intergovernmental Panel on Environment Change. The introduction of the use of high-powered fuels has demonstrated a significant relationship with childhood pneumonia. Our current research was conducted at Sir Ganga Ram Hospital, Lahore from October 2018 to September 2019. The introduction of OC has shown no link with pneumonia in young people. PM 3.6 showed no affiliation when actually estimated, while eight reviews that used strong fuel as an intermediate for PM 2.5 all described critical affiliations. This audit highlights requirement to institutionalize the estimation of input and output factors when studying the impact of air contamination on pneumonia in children under 5 years of age. Future reviews should represent British Columbia, PM1 and association among indoor and outdoor air contamination and their overall effect on pneumonia in youth.
Indoor air pollution from household use of solid fuels
… quantification of health risks …, 2004
This chapter summarizes the methodology used to assess the burden of disease caused by indoor air pollution from household use of solid fuels. Most research into and control of indoor air pollution worldwide has focused on sources of particular concern in developed countries, such as environmental tobacco smoke (ETS), volatile organic compounds from furnishings and radon from soil. Although these pollutants have impacts on health, little is known about their global distribution. Thus, we focus solely on indoor smoke from household use of solid fuels, the most widespread traditional source of indoor air pollution on a global scale. In order to be consistent with the epidemiological literature, binary classifications of household use of solid fuels (biomass and coal) were used as a practical surrogate for actual exposure to indoor air pollution. Specifically, household solid fuel use was estimated at the national level using binary classifications of exposure to household fuel use, i.e. solid fuel and non-solid fuel (gas, kerosene, electricity). We estimated exposure to smoke from solid fuel by combining a number of national surveys of household fuel use into a regression model that predicts use according to independent, development-related variables, such as income and urbanization. Although this method was necessary owing to the current paucity of quantitative data on exposure, we acknowledge that it overlooks the large variability of exposure within households using solid fuels. As pollution emissions from the use of solid fuel may not always indicate high exposures, we have adjusted exposure estimates by a second term, the ventilation factor, which is based on qualitative measures of ventilation. Estimates of relative risk obtained from epidemiological studies were combined in meta-analyses for three disease end-points for which there is strong evidence of an association with use of solid fuels: acute lower respiratory infections (ALRI) in children aged <5 years, chronic
Environmental Science and Pollution Research
Exposure to indoor air pollution increases the risk of pneumonia in children, accounting for about a million deaths globally. This study investigates the individual effect of solid fuel, carbon monoxide (CO), black carbon (BC) and particulate matter (PM) 2.5 on pneumonia in children under 5 in low-and middle-income countries. A systematic review was conducted to identify peer-reviewed and grey full-text documents without restrictions to study design, language or year of publication using nine databases (Embase, PubMed, EBSCO/CINAHL, Scopus, Web of Knowledge, WHO Library Database (WHOLIS), Integrated Regional Information Networks (IRIN), the World Meteorological Organization (WMO)-WHO and Intergovernmental Panel on Climate Change (IPCC). Exposure to solid fuel use showed a significant association to childhood pneumonia. Exposure to CO showed no association to childhood pneumonia. PM 2.5 did not show any association when physically measured, whilst eight studies that used solid fuel as a proxy for PM 2.5 all reported significant associations. This review highlights the need to standardise measurement of exposure and outcome variables when investigating the effect of air pollution on pneumonia in children under 5. Future studies should account for BC, PM 1 and the interaction between indoor and outdoor pollution and its cumulative impact on childhood pneumonia.
2004
This chapter summarizes the methodology used to assess the burden of disease caused by indoor air pollution from household use of solid fuels. Most research into and control of indoor air pollution worldwide has focused on sources of particular concern in developed countries, such as environmental tobacco smoke (ETS), volatile organic compounds from furnishings and radon from soil. Although these pollutants have impacts on health, little is known about their global distribution. Thus, we focus solely on indoor smoke from household use of solid fuels, the most widespread traditional source of indoor air pollution on a global scale. In order to be consistent with the epidemiological literature, binary classifications of household use of solid fuels (biomass and coal) were used as a practical surrogate for actual exposure to indoor air pollution. Specifically, household solid fuel use was estimated at the national level using binary classifications of exposure to household fuel use, i.e. solid fuel and non-solid fuel (gas, kerosene, electricity). We estimated exposure to smoke from solid fuel by combining a number of national surveys of household fuel use into a regression model that predicts use according to independent, development-related variables, such as income and urbanization. Although this method was necessary owing to the current paucity of quantitative data on exposure, we acknowledge that it overlooks the large variability of exposure within households using solid fuels. As pollution emissions from the use of solid fuel may not always indicate high exposures, we have adjusted exposure estimates by a second term, the ventilation factor, which is based on qualitative measures of ventilation. Estimates of relative risk obtained from epidemiological studies were combined in meta-analyses for three disease end-points for which there is strong evidence of an association with use of solid fuels: acute lower respiratory infections (ALRI) in children aged <5 years, chronic
2021
Background. Most of the households in developing countries burn biomass fuel in traditional stoves with incomplete combustion that leads to high indoor air pollution and acute respiratory infections. Acute respiratory infection is the most common cause of under-five morbidity and mortality accounting for 2 million deaths worldwide and responsible for 18% of deaths among underfive children in Ethiopia. Although studies were done on acute respiratory infections, the majority of studies neither clinically diagnose respiratory infections nor use instant measurement of particulate matter. Methods. e community-based crosssectional study design was employed among under-five children in Jimma town from May 21 to June 7, 2020. A total of 265 children through systematic random sampling were included in the study. e data were collected using a pretested semistructured questionnaire and laser pm 2.5 meter for indoor particulate matter concentration. Associations among factors were assessed through correlation analysis, and binary logistic regression was done to predict childhood acute respiratory infections. Variables with p-value less than 0.25 in bivariate regression were the candidate for the final multivariate logistic regression. Two independent sample t-tests were done to compare significant mean difference between concentrations of particulate matter. Results. Among 265 under-five children who were involved in the study, 179 (67.5%) were living in households that predominantly use biomass fuel. Prevalence of acute respiratory infections in the study area was 16%. Children living in households that use biomass fuel were four times more likely to develop acute respiratory infections than their counterparts (AOR: 4.348; 95% CI: 1.632, 11.580). e size of household was significantly associated with the prevalence of acute respiratory infections. Under-five children living in households that have a family size of six and greater had odds of 1.7 increased risk of developing acute respiratory infections than their counterparts (AOR: 1.7; 95% CI: 1.299, 2.212). e other factor associated with acute respiratory infection was separate kitchen; children living in households in which there were no separate kitchen were four times at increased risk of developing acute respiratory infection than children living in households which have separate kitchen (AOR: 4.591; 95% CI: 1.849, 11.402). e concentration of indoor particulate matter was higher in households using biomass fuel than clean fuel. ere was statistically higher particulate matter concentration in the kitchen than living rooms (t � 4.509, p ≤ 0.001). Particulate matter 2.5 concentrations (μg/m 3) of the households that had parental smoking were significantly higher than their counterparts (AOR: 20.224; 95% CI: 1.72, 12.58). Conclusion. ere is an association between acute respiratory infections and biomass fuel usage among under-five children. Focusing on improved energy sources is essential to reduce the burden and assure the safety of children.
Indoor air pollution and the respiratory health of children
Pediatric Pulmonology, 1999
Indoor air pollution (IAP) is a key contributor to the global burden of disease mainly in developing countries. The use of solid fuel for cooking and heating is the main source of IAP in developing countries, accounting for an estimated 3.5 million deaths and 4.5% of Disability-Adjusted Life Years in 2010. Other sources of IAP include indoor smoking, infiltration of pollutants from outdoor sources and substances emitted from an array of human utilities and biological materials. Children are among the most vulnerable groups for adverse effects of IAP. The respiratory system is a primary target of air pollutants resulting in a wide range of acute and chronic effects. The spectrum of respiratory adverse effects ranges from mild subclinical changes and mild symptoms to life threatening conditions and even death. However, IAP is a modifiable risk factor having potential mitigating interventions. Possible interventions range from simple behavior change to structural changes and from shifting of unclean cooking fuel to clean cooking fuel. Shifting from use of solid fuel to clean fuel invariably reduces household air pollution in developing countries, but such a change is challenging. This review aims to summarize the available information on IAP exposure during childhood and its effects on respiratory health in developing countries. It specifically discusses the common sources of IAP, susceptibility of children to air pollution, mechanisms of action, common respiratory conditions, preventive and mitigating strategies.
Biomass solid fuel and acute respiratory infections: The ventilation factor
International Journal of Hygiene and Environmental Health, 2006
Biomass solid fuel smoke is linked to acute respiratory infections (ARI). In future, its use will likely increase among poor households, and better ventilation is one important measure that can reduce this health impact. The authors aimed to study the extent to which improvement in ventilation-related factors reduces the fraction of ARI attributable to exposure to biomass smoke in children under 5 years old. An explorative study was carried out in 2004 by applying a questionnaire on 51 households randomly selected from a health district in Burkina Faso. The prevalence of exposure in the population was estimated using ventilation coefficients, and proportions of households with different stove types and locations. An attributable fraction of 0.56 (95% CI: 0.47-0.62) was estimated using the traditional formula for attributable fraction, and 0.26 (95% CI: 0.19-0.31) after weighting exposure by ventilation coefficients, stove type and location. Two scenarios were created: (1) Assuming that most households cooked inside, the fraction becomes 0.54 (95% CI: 0.45-0.61).
BMC Pediatrics
Background: Household air pollution from combustion of solid fuels for cooking and space heating is one of the most important risk factors of the global burden of disease. This study was aimed to determine the association between household air pollution due to combustion of biomass fuel in Sri Lankan households and self-reported respiratory symptoms in children under 5 years. Methods: A prospective study was conducted in the Ragama Medical Officer of Health area in Sri Lanka. Children under 5 years were followed up for 12 months. Data on respiratory symptoms were extracted from a symptom diary. Socioeconomic data and the main fuel type used for cooking were recorded. Air quality measurements were taken during the preparation of the lunch meal over a 2-h period in a subsample of households. Results: Two hundred and sixty two children were followed up. The incidence of infection induced asthma (RR = 1.77, 95%CI;1.098-2.949) was significantly higher among children resident in households using biomass fuel and kerosene (considered as the high exposure group) as compared to children resident in households using Liquefied Petroleum Gas (LPG) or electricity for cooking (considered as the low exposure group), after adjusting for confounders. Maternal education was significantly associated with the incidence of infection induced asthma after controlling for other factors including exposure status. The incidence of asthma among male children was significantly higher than in female children (RR = 1.17; 95% CI 1.01-1.37). Having an industry causing air pollution near the home and cooking inside the living area were significant risk factors of rhinitis (RR = 1.39 and 2.67, respectively) while spending less time on cooking was a protective factor (RR = 0.81). Houses which used biomass fuel had significantly higher concentrations of carbon monoxide (CO) (mean 2.77 ppm vs 1.44 ppm) and particulate matter 2.5 (PM 2.5) (mean 1.09 mg/m 3 vs 0.30 mg/m 3) as compared to houses using LPG or electricity for cooking. Conclusion: The CO and PM 2.5 concentrations were significantly higher in households using biomass fuel for cooking. There was a 1.6 times higher risk of infection induced asthma (IIA) among children of the high exposure group as compared to children of the low exposure group, after controlling for other factors. Maternal education was significantly associated with the incidence of IIA after controlling for exposure status and other variables.