Respiratory Disease Associated with Solid Biomass Fuel Exposure in Rural Women and Children: Systematic Review and Meta-Analysis.

Abstract

Background Numerous studies with varying associations between domestic use of solid biomass fuels (wood, dung, crop residue, charcoal) and respiratory diseases have been reported. Objective To present the current data systematically associating use of biomass fuels with respiratory outcomes in rural women and children. Methods Systematic searches were conducted in 13 electronic databases. Data were abstracted from original articles that satisfied selection criteria for meta-analyses. Publication bias and heterogeneity of samples were tested. Studies with common diagnoses were analysed using random-effect models. Results A total of 2717 studies were identified. Fifty-one studies were selected for data extraction and 25 studies were suitable for meta-analysis. The overall pooled ORs indicate significant associations with acute respiratory infection in children (OR 3.53, 95% CI 1.94 to 6.43), chronic bronchitis in women (OR 2.52, 95% CI 1.88 to 3.38) and chronic obstructive pulmonary disease in women (OR 2.40, 95% CI

Biomass smoke exposure as a serious health hazard for women

“…In a systematic review and meta-analysis of 25 studies concerning respiratory diseases associated with solid biomass fuel exposure in rural women and children, no significant association with asthma in children or women was noted (20).…”

“…Evidence in adults comes from in rural China which reported adjusted OR for wheezing and asthma for the group with occupational exposure to wood smoke to be 1.36 (1.14-1.61) and 1.27 (1.02-1.58), respectively (20,24). In a systematic review and meta-analysis of 25 studies concerning respiratory diseases associated with solid biomass fuel exposure in rural women and children, no significant association with asthma in children or women was noted (20).…”

One-Off Subsidies and Long-Run Adoption Experimental Evidence on Improved Cooking Stoves in Senegal

“…These studies find that livelihood can be improved and deforestation reduced. In all these studies the positive findings hinge upon the technical design that has to be in fact 2 Exposure to particulate matter induced by biomass cooking affects health in various ways and may lead to acute respiratory infections, stunted growth in children, pneumonia, chronic bronchitis in women, chronic obstructive pulmonary disease (COPD), cataracts and other visual impairments, cardiovascular diseases, lung cancer, tuberculosis and perinatal diseases (see for example Po et al 2011, Ezzati and Kammen 2002, Amegah et al 2014, Dherani et al 2008, McCracken et al 2012, Hosgood et al 2010, Bruce et al 2013, or Smith et al 2014 improved. 3 Moreover, ICS have to be properly adopted and -if necessarymaintained by the users because the partial, diminishing or improper use of ICSs may entail little to no benefits, as it has been observed in Hanna et al (2016) or Usmani et al (2017).…”

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“…It can also be associated with trachoma, including in Ethiopia (Golovaty et al, 2009). The use of wood and charcoal as cooking fuel leads to high levels of indoor pollution and local deforestation, and is associated with respiratory disease (Po et al, 2011) and otitis media (Amusa et al, 2005). Wood and charcoal take time and money to procure.…”