Domestic Smoke Pollution and Acute Respiratory Infection in a Rural Community of the Hill Region of Nepal

Pandey, Madhav; Neupane, Ram Prasad; Gautam, Akshaya

doi:10.1007/978-3-642-83904-7_54

Cited by 21 publications

(24 citation statements)

References 5 publications

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“…Lebowitz et al 118] in a 2-year study found that gas stoves had adverse effects on symptoms and peak How rates in asthmatics but not in normal subjects. Pandey et al [19] from Nepal, on the other hand, observed a deterioration of the lung function associated with domestic smoke pollution due to biomass fuel. There was a fall in the mean FVC.…”

Section: Discussionmentioning

confidence: 99%

Ventilatory Function in Nonsmoking Rural Indian Women Using Different Cooking Fuels

Behera

Malhotra

1994

Respiration

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Lung function parameters, forced vital capacity (FVC), forced expiratory volume in 1st s (FEV₁), peak expiratory flow rate (PEFR), were measured in 3,318 nonsmoking Indian women using four different types of cooking fuels (biomass, liquified petroleum gas, kerosene and mixed). Biomass fuel users had FVC values less than 75% predicted (73.42 ± 0.90; mean ± SE) whereas in other groups it was more than 75% of predicted, though less than 80% of the predicted values. However, FEV₁, FEV₁/FVC (%) and PEFR were within normal limits in all the four groups. The absolute values of all the three parameters of lung functions were the lowest in the biomass and mixed fuel users. A negative correlation was observed between these parameters and the duration of cooking and exposure index. Thus the present study showed that, lung function, particularly FVC, is affected by indoor air pollution due to domestic cooking more so with biomass fuel. Better housing and use of smokeless devices for cooking might be helpful to avoid this effect on lung. This ventilatory impairment seems to be more of the restrictive (parenchymal) type, since obstruction could be ruled out. A longitudinal study is needed to demonstrate whether or not these changes are variable, reversible or progressing to fibrosis.

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Section: Discussionmentioning

confidence: 99%

Ventilatory Function in Nonsmoking Rural Indian Women Using Different Cooking Fuels

Behera

Malhotra

1994

Respiration

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“…Most of these deaths occur in developing coun tries. In a rural community in Nepal [3] a consistent posi tive correlation was found between life-threatening grades of acute respiratory infection and domestic smoke expo sure. In India a significantly higher incidence of obstruc tive pulmonary defects was found amongst housewives using traditional biomass fuels compared to those using modem fuels for cooking [4], In 1992 the World Bank [5] claimed that smoke from biomass fuels resulted in an esti mated 4 million deaths annually among infants and chil dren.…”

Section: Introductionmentioning

confidence: 84%

Indoor Air Problems in Asia

Leslie¹

1995

Indoor Built Environ

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Respiratory disease and mortality due to indoor air pollution are amongst the greatest environmental threats to health in the developing countries of Asia. World-wide, acute respiratory infection is the cause of death of at least 5 million children under the age of 5 every year. The World Bank has claimed that smoke from biomass fuels resulted in an estimated 4 million deaths annually amongst infants and children. Most of these deaths occur in developing countries. Combustion in its various forms must head the list of pollution sources in Asia. Combustion of various fuels for domestic heating, lighting and cooking comprises the major source of internally generated pollutants and combustion in industrial plants, power generation and transportation is the major cause of externally generated pollutants. The products of pyrolysis and combustion include many compounds with well-known adverse health effects. These include gases such as CO, CO2, NOx and SO2, volatile organic compounds such as polynuclear aromatic hydrocarbons and nitrosamines as well as respirable particulates of variable composition. The nature and magnitude of the health risks posed by these materials vary with season, climate, location, housing, method of ventilation, culture and socio-economic status. The most important cause of lung cancer in non-smokers in Northern Asia is the domestic combustion of smoky coal. Acute carbon monoxide poisoning is common in many Asian countries. Roads traffic exhaust pollution is worse in the major cities of South East Asia than almost anywhere else in the world and this externally generated air pollution forms the indoor air for the urban poor. Despite all these major problems there has been a tendency for international agencies to focus attention and resources on the more trivial problems of indoor air encountered in the affluent countries of the West. Regulatory agencies in Asia have been too frequently persuaded that their problems of indoor air pollution are similar to those in the West and require similar legislation.

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“…Although the contribution of these indoor pollutants to the risk of developing COPD is difficult to quantitate, several studies suggest a relation between indoor fuel combustion practices and COPD risk (111)(112)(113)(114)(115). Exposure to indoor air pollution caused by fuel combustion is greater in poorer nations, and the potential health impact may vary accordingly.…”

Section: Definition and Pathophysiology Of Copdmentioning

confidence: 99%

Environmental and genetic risk factors and gene-environment interactions in the pathogenesis of chronic obstructive lung disease.

Walter

Gottlieb

O’Connor

2000

Environ Health Perspect

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Domestic Smoke Pollution and Acute Respiratory Infection in a Rural Community of the Hill Region of Nepal

Cited by 21 publications

References 5 publications

Ventilatory Function in Nonsmoking Rural Indian Women Using Different Cooking Fuels

Ventilatory Function in Nonsmoking Rural Indian Women Using Different Cooking Fuels

Indoor Air Problems in Asia

Environmental and genetic risk factors and gene-environment interactions in the pathogenesis of chronic obstructive lung disease.

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