MAY 21, 2013 · 0 COMMENTS
Environ Res. 2013 Feb;121:11-6.
Seasonal concentrations and determinants of indoor particulate matter in a low-income community in Dhaka, Bangladesh.
Gurley ES, Salje H, Homaira N, Ram PK, Haque R, Petri WA Jr, Bresee J, Moss WJ, Luby SP, Breysse P, Azziz-Baumgartner E.
Centre for Communicable Diseases, International Center for Diarrheal Diseases Research, Bangladesh (icddr,b), 68 Shaheed Tajuddin Ahmed Sarani, Mohakhali, Dhaka-1212, Bangladesh. egu...@icddrb.org
Abstract
Indoor exposure to particulate matter (PM) increases the risk of acute lower respiratory tract infections, which are the leading cause of death in young children in Bangladesh. Few studies, however, have measured children’s exposures to indoor PM over time.
The World Health Organization recommends that daily indoor concentrations of PM less than 2.5μm in diameter (PM(2.5)) not exceed 25μg/m(3). This study aimed to describe the seasonal variation and determinants of concentrations of indoor PM(2.5) in a low-income
community in urban Dhaka, Bangladesh.
PM(2.5) was measured in homes monthly during May 2009 to April 2010. We calculated the time-weighted average, 90th percentile PM(2.5) concentrations and the daily hours PM(2.5) exceeded 100μg/m(3). Linear regression models were used to estimate the associations between fuel use, ventilation, indoor smoking, and season to each metric describing indoor PM(2.5) concentrations. Time-weighted average PM(2.5) concentrations were 190μg/m(3) (95% CI 170-210). Sixteen percent of 258 households primarily used biomass fuels for cooking and PM(2.5) concentrations in these homes had average concentrations 75μg/m(3) (95% CI 56-124) greater than other homes.
PM(2.5) concentrations were also associated with burning both biomass and kerosene, indoor smoking, and ventilation, and were more than twice as high during winter than during other seasons. Young children in this community are exposed to indoor PM(2.5) concentrations 7 times greater than those recommended by World Health Organization guidelines. Interventions to reduce biomass burning could result in a daily reduction of 75μg/m(3) (40%) in time-weighted average PM(2.5) concentrations.
MAY 21, 2013 · 0 COMMENTS
Environ Health Perspect. 2013 May 3.
Solid Fuel Use for Household Cooking: Country and Regional Estimates for 1980-2010.
Bonjour S, Adair-Rohani H, Wolf J, Bruce NG, Mehta S, Prüss-Ustün A, Lahiff M, Rehfuess EA, Mishra V, Smith KR.
Department of Public Health and Environment, World Health Organization, Geneva, Switzerland.
BACKGROUND: Exposure to household air pollution resulting from cooking with solid fuels in simple stoves is a major health risk. Modelling reliable estimates of solid fuel use is needed for monitoring trends and informing policy.
OBJECTIVES: We estimated annual trends in the population using solid fuels for the revision of the disease burden attributable to household air pollution for the Global Burden of Disease 2010 project, and for international reporting purposes.
METHODS: A multilevel model was developed based on national survey data on primary cooking fuel.
RESULTS: The proportion of households relying mainly on solid fuels for cooking has decreased from 62% (95% CI: 58, 66) to 41% (95% CI: 37, 44) between 1980 and 2010. Yet due to population growth, the actual number of people exposed has remained stable at around 2.8 billion during three decades. Solid fuel use is most prevalent in Africa and South East Asia where more than 60% of households cook with solid fuels. In other regions, primary solid fuel use ranges from almost 50% in the Western Pacific, to one third in Eastern Mediterranean and less than 20% in the Americas and Europe.
CONCLUSION: Multilevel modelling is a suitable technique to derive reliable solid fuel use estimates. Worldwide, the proportion of households cooking mainly with solid fuels is decreasing. The absolute number of people using solid fuels, however, is remaining steady globally and increasing in some regions. Surveys require enhancement to better capture the health implications of new technologies and multiple fuel use.