Indoor air pollution from biomass combustion and respiratory symptoms of women and children in a Zimbabwean village.

UNLABELLED Rural areas of developing countries are particularly reliant on biomass for cooking and heating. Women and children in these areas are often exposed to high levels of pollutants from biomass combustion that is associated with a range of respiratory symptoms. Domestic exposure to carbon monoxide (CO) and respirable particles (RSPs) in association with respiratory symptoms among women and children in Zimbabwe was investigated in 48 households. Health status and household characteristics were also recorded. In this study, indoor levels of CO and RSPs exceeded World Health Organization (WHO) air quality guidelines in over 95% of kitchens. The level of indoor air pollutants was associated with the area of kitchen windows and the length of cooking time combined with the level of fire combustion. Prevalence of respiratory symptoms was 94% for women and 77% for children. In addition, women reporting respiratory symptoms were exposed to higher levels of RSPs when compared with those reporting no respiratory symptoms. The study results indicated that levels of indoor air pollutants in rural Zimbabwe may contribute to respiratory symptoms in both women and children. PRACTICAL IMPLICATIONS Levels of respirable particles and carbon monoxide in kitchens in rural Zimbabwe are unacceptably high and measures to reduce levels should be undertaken. Based on the study findings, recommendations for increasing the area of kitchen windows may be considered as a practical method of reducing indoor air pollutants in rural Zimbabwe.

[1]  S. Sithole,et al.  Indoor Woodsmoke Pollution Causing Lower Respiratory Disease in Children , 1990, Tropical doctor.

[2]  Daniel M Kammen,et al.  Indoor air pollution from biomass combustion and acute respiratory infections in Kenya: an exposure-response study , 2001, The Lancet.

[3]  D. Kossove Smoke-filled rooms and lower respiratory disease in infants. , 1982, South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde.

[4]  H. Campbell,et al.  Indoor air pollution exposure and lower respiratory infections in young Gambian children. , 1991, International journal of epidemiology.

[5]  M. Ezzati Indoor air pollution and health in developing countries , 2005, The Lancet.

[6]  E. Boy,et al.  Indoor biofuel air pollution and respiratory health: the role of confounding factors among women in highland Guatemala. , 1998, International journal of epidemiology.

[7]  Wafula Em,et al.  Domestic air pollution from biomass burning in Kenya , 1989 .

[8]  J. Samet,et al.  Indoor air pollution in developing countries and acute lower respiratory infections in children , 2000, Thorax.

[9]  V. Mishra,et al.  Indoor air pollution from biomass combustion and acute respiratory illness in preschool age children in Zimbabwe. , 2003, International journal of epidemiology.

[10]  A. Ellegård,et al.  Cooking fuel smoke and respiratory symptoms among women in low-income areas in Maputo. , 1996 .

[11]  N. Bruce,et al.  Indoor air pollution in developing countries: a major environmental and public health challenge. , 2000, Bulletin of the World Health Organization.