The US Environmental Protection Agency (EPA) has designated a handful of instruments as Federal Reference or Federal Equivalency Methods (FRM and FEM, respectively) for the monitoring of fine particulate matter (PM2.5). More commonly used for indoor exposure assessment studies are optical scanning devices such as the DustTrak (TSI) due to the their portability and affordability. It is recommended by the manufacturer of these instruments that a “correction factor” be applied when assessing source-specific conditions. In this study, DustTraks were collocated with multiple samplers in various environments in an effort to establish an indoor, wood smoke-source specific correction factor. The DustTrak was found to report PM2.5 levels on average 1.6 times higher than a filter based method in two indoor sampling programs. The DustTrak also reported indoor PM2.5 concentrations 1.7 times higher than a FRM sampler during a regional forest fire event. These real-world scenarios give a correction factor within a reasonable range of the results of a controlled laboratory experiment in which DustTraks reported PM2.5 approximately 2 times higher than a FEM. Our indoor wood smoke-specific correction factor of 1.65 will allow for DustTraks to be confidently used in quantifying PM2.5 exposures within indoor environments predominantly impacted by wood smoke.

Background:Household air pollution due to biomass combustion for residential heating adversely affects vulnerable populations. Randomized controlled trials to improve indoor air quality in homes of children with asthma are limited, and no such studies have been conducted in homes using wood for heating.Objectives:Our aims were to test the hypothesis that household-level interventions, specifically improved-technology wood-burning appliances or air-filtration devices, would improve health measures, in particular Pediatric Asthma Quality of Life Questionnaire (PAQLQ) scores, relative to placebo, among children living with asthma in homes with wood-burning stoves.Methods:A three-arm placebo-controlled randomized trial was conducted in homes with wood-burning stoves among children with asthma. Multiple preintervention and postintervention data included PAQLQ (primary outcome), peak expiratory flow (PEF) monitoring, diurnal peak flow variability (dPFV, an indicator of airway hyperreactivity) and indoor particulate matter (PM) PM2.5.Results:Relative to placebo, neither the air filter nor the woodstove intervention showed improvement in quality-of-life measures. Among the secondary outcomes, dPFV showed a 4.1 percentage point decrease in variability [95% confidence interval (CI)=−7.8 to −0.4] for air-filtration use in comparison with placebo. The air-filter intervention showed a 67% (95% CI: 50% to 77%) reduction in indoor PM2.5, but no change was observed with the improved-technology woodstove intervention.Conclusions:Among children with asthma and chronic exposure to woodsmoke, an air-filter intervention that improved indoor air quality did not affect quality-of-life measures. Intent-to-treat analysis did show an improvement in the secondary measure of dPFV.Trial registration:ClincialTrials.gov NCT00807183. https://doi.org/10.1289/EHP849

These findings support the use of high efficiency air filtration units for reducing indoor PM in homes using a wood stove for primary heating. We also discovered that using lower efficiency, lower cost filter alternatives can be effective for reducing PMc and airborne endotoxin in homes burning biomass fuel.