Respiratory risks from household air pollution in low and middle income countries

A third of the world's population uses solid fuel derived from plant material (biomass) or coal for cooking, heating, or lighting. These fuels are smoky, often used in an open fire or simple stove with incomplete combustion, and result in a large amount of household air pollution when smoke is...

ver descrição completa

Detalhes bibliográficos
Main Authors: Gordon, S, Bruce, N, Grigg, J, Hibberd, P, Kurmi, O, Lam, K, Mortimer, K, Asante, K, Balakrishnan, K, Balmes, J, Bar-Zeev, N, Bates, M, Breysse, P, Buist, S, Chen, Z, Havens, D, Jack, D, Jindal, S, Kan, H, Mehta, S, Moschovis, P, Naeher, L, Patel, A, Perez-Padilla, R, Pope, D
Formato: Journal article
Idioma:English
Publicado em: Lancet 2014
_version_ 1826256698023608320
author Gordon, S
Bruce, N
Grigg, J
Hibberd, P
Kurmi, O
Lam, K
Mortimer, K
Asante, K
Balakrishnan, K
Balmes, J
Bar-Zeev, N
Bates, M
Breysse, P
Buist, S
Chen, Z
Havens, D
Jack, D
Jindal, S
Kan, H
Mehta, S
Moschovis, P
Naeher, L
Patel, A
Perez-Padilla, R
Pope, D
author_facet Gordon, S
Bruce, N
Grigg, J
Hibberd, P
Kurmi, O
Lam, K
Mortimer, K
Asante, K
Balakrishnan, K
Balmes, J
Bar-Zeev, N
Bates, M
Breysse, P
Buist, S
Chen, Z
Havens, D
Jack, D
Jindal, S
Kan, H
Mehta, S
Moschovis, P
Naeher, L
Patel, A
Perez-Padilla, R
Pope, D
author_sort Gordon, S
collection OXFORD
description A third of the world's population uses solid fuel derived from plant material (biomass) or coal for cooking, heating, or lighting. These fuels are smoky, often used in an open fire or simple stove with incomplete combustion, and result in a large amount of household air pollution when smoke is poorly vented. Air pollution is the biggest environmental cause of death worldwide, with household air pollution accounting for about 3·5-4 million deaths every year. Women and children living in severe poverty have the greatest exposures to household air pollution. In this Commission, we review evidence for the association between household air pollution and respiratory infections, respiratory tract cancers, and chronic lung diseases. Respiratory infections (comprising both upper and lower respiratory tract infections with viruses, bacteria, and mycobacteria) have all been associated with exposure to household air pollution. Respiratory tract cancers, including both nasopharyngeal cancer and lung cancer, are strongly associated with pollution from coal burning and further data are needed about other solid fuels. Chronic lung diseases, including chronic obstructive pulmonary disease and bronchiectasis in women, are associated with solid fuel use for cooking, and the damaging effects of exposure to household air pollution in early life on lung development are yet to be fully described. We also review appropriate ways to measure exposure to household air pollution, as well as study design issues and potential effective interventions to prevent these disease burdens. Measurement of household air pollution needs individual, rather than fixed in place, monitoring because exposure varies by age, gender, location, and household role. Women and children are particularly susceptible to the toxic effects of pollution and are exposed to the highest concentrations. Interventions should target these high-risk groups and be of sufficient quality to make the air clean. To make clean energy available to all people is the long-term goal, with an intermediate solution being to make available energy that is clean enough to have a health impact.
first_indexed 2024-03-06T18:06:22Z
format Journal article
id oxford-uuid:018b5fb6-322d-433e-8250-1ada6bca3293
institution University of Oxford
language English
last_indexed 2024-03-06T18:06:22Z
publishDate 2014
publisher Lancet
record_format dspace
spelling oxford-uuid:018b5fb6-322d-433e-8250-1ada6bca32932022-03-26T08:35:46ZRespiratory risks from household air pollution in low and middle income countriesJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:018b5fb6-322d-433e-8250-1ada6bca3293EnglishSymplectic Elements at OxfordLancet2014Gordon, SBruce, NGrigg, JHibberd, PKurmi, OLam, KMortimer, KAsante, KBalakrishnan, KBalmes, JBar-Zeev, NBates, MBreysse, PBuist, SChen, ZHavens, DJack, DJindal, SKan, HMehta, SMoschovis, PNaeher, LPatel, APerez-Padilla, RPope, DA third of the world's population uses solid fuel derived from plant material (biomass) or coal for cooking, heating, or lighting. These fuels are smoky, often used in an open fire or simple stove with incomplete combustion, and result in a large amount of household air pollution when smoke is poorly vented. Air pollution is the biggest environmental cause of death worldwide, with household air pollution accounting for about 3·5-4 million deaths every year. Women and children living in severe poverty have the greatest exposures to household air pollution. In this Commission, we review evidence for the association between household air pollution and respiratory infections, respiratory tract cancers, and chronic lung diseases. Respiratory infections (comprising both upper and lower respiratory tract infections with viruses, bacteria, and mycobacteria) have all been associated with exposure to household air pollution. Respiratory tract cancers, including both nasopharyngeal cancer and lung cancer, are strongly associated with pollution from coal burning and further data are needed about other solid fuels. Chronic lung diseases, including chronic obstructive pulmonary disease and bronchiectasis in women, are associated with solid fuel use for cooking, and the damaging effects of exposure to household air pollution in early life on lung development are yet to be fully described. We also review appropriate ways to measure exposure to household air pollution, as well as study design issues and potential effective interventions to prevent these disease burdens. Measurement of household air pollution needs individual, rather than fixed in place, monitoring because exposure varies by age, gender, location, and household role. Women and children are particularly susceptible to the toxic effects of pollution and are exposed to the highest concentrations. Interventions should target these high-risk groups and be of sufficient quality to make the air clean. To make clean energy available to all people is the long-term goal, with an intermediate solution being to make available energy that is clean enough to have a health impact.
spellingShingle Gordon, S
Bruce, N
Grigg, J
Hibberd, P
Kurmi, O
Lam, K
Mortimer, K
Asante, K
Balakrishnan, K
Balmes, J
Bar-Zeev, N
Bates, M
Breysse, P
Buist, S
Chen, Z
Havens, D
Jack, D
Jindal, S
Kan, H
Mehta, S
Moschovis, P
Naeher, L
Patel, A
Perez-Padilla, R
Pope, D
Respiratory risks from household air pollution in low and middle income countries
title Respiratory risks from household air pollution in low and middle income countries
title_full Respiratory risks from household air pollution in low and middle income countries
title_fullStr Respiratory risks from household air pollution in low and middle income countries
title_full_unstemmed Respiratory risks from household air pollution in low and middle income countries
title_short Respiratory risks from household air pollution in low and middle income countries
title_sort respiratory risks from household air pollution in low and middle income countries
work_keys_str_mv AT gordons respiratoryrisksfromhouseholdairpollutioninlowandmiddleincomecountries
AT brucen respiratoryrisksfromhouseholdairpollutioninlowandmiddleincomecountries
AT griggj respiratoryrisksfromhouseholdairpollutioninlowandmiddleincomecountries
AT hibberdp respiratoryrisksfromhouseholdairpollutioninlowandmiddleincomecountries
AT kurmio respiratoryrisksfromhouseholdairpollutioninlowandmiddleincomecountries
AT lamk respiratoryrisksfromhouseholdairpollutioninlowandmiddleincomecountries
AT mortimerk respiratoryrisksfromhouseholdairpollutioninlowandmiddleincomecountries
AT asantek respiratoryrisksfromhouseholdairpollutioninlowandmiddleincomecountries
AT balakrishnank respiratoryrisksfromhouseholdairpollutioninlowandmiddleincomecountries
AT balmesj respiratoryrisksfromhouseholdairpollutioninlowandmiddleincomecountries
AT barzeevn respiratoryrisksfromhouseholdairpollutioninlowandmiddleincomecountries
AT batesm respiratoryrisksfromhouseholdairpollutioninlowandmiddleincomecountries
AT breyssep respiratoryrisksfromhouseholdairpollutioninlowandmiddleincomecountries
AT buists respiratoryrisksfromhouseholdairpollutioninlowandmiddleincomecountries
AT chenz respiratoryrisksfromhouseholdairpollutioninlowandmiddleincomecountries
AT havensd respiratoryrisksfromhouseholdairpollutioninlowandmiddleincomecountries
AT jackd respiratoryrisksfromhouseholdairpollutioninlowandmiddleincomecountries
AT jindals respiratoryrisksfromhouseholdairpollutioninlowandmiddleincomecountries
AT kanh respiratoryrisksfromhouseholdairpollutioninlowandmiddleincomecountries
AT mehtas respiratoryrisksfromhouseholdairpollutioninlowandmiddleincomecountries
AT moschovisp respiratoryrisksfromhouseholdairpollutioninlowandmiddleincomecountries
AT naeherl respiratoryrisksfromhouseholdairpollutioninlowandmiddleincomecountries
AT patela respiratoryrisksfromhouseholdairpollutioninlowandmiddleincomecountries
AT perezpadillar respiratoryrisksfromhouseholdairpollutioninlowandmiddleincomecountries
AT poped respiratoryrisksfromhouseholdairpollutioninlowandmiddleincomecountries