Domestic smoke pollution and chronic bronchitis in a rural community of the Hill Region of Nepal.

An earlier study of chronic bronchitis in a rural community of the Hill Region of Nepal using Medical Research Council criteria showed a high prevalence rate that was more or less equal in the two sexes. Most of the women in the study population are exposed to domestic smoke caused by wood and straw fires used for cooking and heating purposes in the ill ventilated houses without chimneys. Data from 1375 individuals were analysed to determine whether there was any relationship between domestic smoke pollution and chronic bronchitis. Exposure to domestic smoke was assessed according to the average time per day spent near the fireplace. The association between chronic bronchitis and cigarette smoking was confirmed. In female nonsmokers and smokers and past smokers of both sexes crude and age adjusted prevalence rates for chronic bronchitis were significantly associated with increasing exposure to domestic smoke. In the living conditions existing in the rural Hill Region of Nepal domestic smoke pollution is an important contributing factor in the development of chronic bronchitis.

[1]  D. Reid,et al.  Air Pollution and Other Local Factors in Respiratory Disease , 1958 .

[2]  W. Holland,et al.  THE URBAN FACTOR IN CHRONIC BRONCHITIS. , 1965, Lancet.

[3]  D. Reid,et al.  Smoking, air pollution, and bronchitis in Britain. , 1970, Lancet.

[4]  C. Blackburn,et al.  Studies of chronic nontuberculous lung disease in New Guinea Populations. The prevalence of Hemophilus influenzae precipitins. , 1970, The American review of respiratory disease.

[5]  P. J. Lawther.  Chronic Bronchitis and Occupation , 1963, Royal Society of Health journal.

[6]  C. Fletcher.  Cigarettes and respiratory disease. , 1968, Bulletin - National Tuberculosis and Respiratory Disease Association.

[7]  WORLD CONFERENCE ON SMOKING AND HEALTH , 1968 .

[8]  J. Cookson,et al.  Prevalence of chronic bronchitis in Rhodesian Africans. , 1978, Thorax.

[9]  M. Lebowitz.  Occupational exposures in relation to symptomatology and lung function in a community population. , 1977, Environmental research.

[10]  H. Anderson,et al.  Chronic lung disease in the Papua New Guinea Highlands. , 1979, Thorax.

[11]  J. Pemberton.  Occupational factors in chronic bronchitis. , 1968, Proceedings of the Royal Society of Medicine.

[12]  A. Woolcock,et al.  Studies of chronic (nontuberculous) lung disease in New Guinea populations. The nature of the disease. , 1970, The American review of respiratory disease.

[13]  C. Lowe,et al.  Chronic bronchitis and occupation. , 1966, Proceedings of the Royal Society of Medicine.