Epidemiol Rev. 2010 Apr 8.

Risk of Low Birth Weight and Stillbirth Associated With Indoor Air Pollution From Solid Fuel Use in Developing Countries.

Pope DP, Mishra V, Thompson L, Siddiqui AR, Rehfuess EA, Weber M, Bruce NG.

Exposure to indoor air pollution from solid fuel use (IAP) has been linked to approximately 1.5 million annual deaths (World Health Organization (http://www.who.int/indoorair/publications/fuelforlife/en/index.html) due to acute lower respiratory infections in children <5 years of age and chronic obstructive lung disease and lung cancer in adults. Emerging evidence suggests that IAP increases the risk of other conditions, including adverse pregnancy outcomes. To establish the relation of IAP with birth weight and stillbirth, systematic reviews with meta-analyses were conducted.

Studies reporting outcomes of mean birth weight, percentage of low birth weight (LBW; <2,500 g), and/or stillbirth and assessing IAP were identified.  Five LBW studies (of 982) and 3 stillbirth studies (of 171) met inclusion criteria for the reviews. Fixed-effect meta-analyses (I(2) = 0%) found that IAP was associated with increased risk of percentage LBW (odds ratio = 1.38, 95% confidence interval: 1.25, 1.52) and stillbirth (odds ratio = 1.51, 95% confidence interval: 1.23, 1.85) and reduced mean birth weight (-95.6 g, 95% confidence interval: -68.5, -124.7).

Evidence from secondhand smoke, ambient air pollution, and animal studies-and suggested plausible mechanisms-substantiate these associations. Because a majority of pregnant women in developing countries, where rates of LBW and stillbirth are high, are heavily exposed to IAP, increased relative risk translates into substantial population attributable risks of 21% (LBW) and 26% (stillbirth).

Proc Am Thorac Soc. 2010 May;7(2):98-101.

When smoke gets in your lungs.

Balmes JR.

UCSF, Box 0843, San Francisco, CA 94143-0843, USA.  john.balmes@ucsf.edu

A major source of air pollution exposure in the developing world is smoke due to inefficient cooking with biomass fuels in poorly ventilated homes. Biomass fuel refers to any recently living plant- and/or animal-based material that is deliberately burned by humans as fuel, including wood, crop residues, and animal dung. The levels of exposure to particulate matter in such homes are often at least an order of magnitude higher than the highest concentrations that occur in the ambient air of the developed world.

Because roughly half the world’s population cooks daily with unprocessed biomass fuel, the potential public health impact is huge. The World Health Organization has estimated that indoor air pollution from solid fuel use is responsible for 2.6% of the total global burden of disease and between 1.5 and 2 million deaths each year, primarily due to acute lower respiratory infection in young children and chronic obstructive pulmonary disease in adult women. Major limitations of the existing epidemiologic iterature include lack of actual exposure measurements, lack of longitudinal studies, inadequate exposure-response information, and few intervention studies. Ongoing research in Guatemala is attempting to address these data gaps.

Proc Am Thorac Soc. 2010 May;7(2):102-6.

Indoor air pollution and asthma in children.

Breysse PN, Diette GB, Matsui EC, Butz AM, Hansel NN, McCormack MC.

Department of Environmental Heath Sciences, Johns Hopkins University Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, MD 21205, USA. pbreysse@jhsph.edu

The purpose of this article is to review indoor air pollution factors that can modify asthma severity, particularly in inner-city environments. While there is a large literature linking ambient air pollution and asthma morbidity, less is known about the impact of indoor air pollution on asthma. Concentrating on the indoor environments is particularly important for children, since they can spend as much as 90% of their time indoors. This review focuses on studies conducted by the Johns Hopkins Center for Childhood Asthma in the Urban Environment as well as other relevant epidemiologic studies. Analysis of exposure outcome relationships
in the published literature demonstrates the importance of evaluating indoor home environmental air pollution sources as risk factors for asthma morbidity. Important indoor air pollution determinants of asthma morbidity in urban environments include particulate matter (particularly the coarse fraction), nitrogen dioxide, and airborne mouse allergen exposure. Avoidance of harmful environmental exposures is a key component of national and international guideline recommendations for management of asthma. This literature suggests that modifying the indoor environment to reduce particulate matter, NO(2), and mouse allergen may be an important asthma management strategy. More research documenting effectiveness of interventions to reduce those exposures and improve asthma outcomes is needed.

The African Development Bank (AfDB) second clean energy bonds will finance its expanding portfolio of clean energy projects in the continent.

The bonds that are due in November 2013 with one denominated in New Zealand dollars and the other in Australian dollars, will be offered to Japanese retail investors starting May.

Mizuho International Plc is acting as sole lead manager while distribution will be done by Mizuho Securities Co. Ltd.

AfDB’s first successful clean energy bond was issued in March for $78 million.

According to AfDB’s Group Treasurer, Pierre Van Peteghem, the bank is pleased to offer investors the opportunity to support clean energy solutions in Africa again, which is a major area of focus in the bank’s operational activities.

Access to energy in Africa is critical for reducing poverty, and making the continent more competitive.
AfDB management said that climate change and energy security are major concerns at the bank, a multilateral finance institution that promotes economic and social projects in the Asia-Pacific region.

As a result, the Bank has established a Clean Energy for Development Investment Framework, which underscores its increased support towards clean energy projects.

This is the first step in addressing the need for greater energy access while considering the opportunities of shifting energy investments to favour low-carbon development paths.

AfDB supports its African member countries efforts towards developing its abundant, but untapped clean energy potential in three ways: First, by encouraging countries to mainstream clean energy options into national development plans and energy planning.

Second, the Bank is promoting investment in clean energy, including wind-power, hydropower and thermal power, use of new-generation bio-fuels, smoke-free stoves, low-light technologies, and extending, improving and subsidizing and connecting national power grids.

Third, AfDB is working to boost energy access in Africa by supporting the sustainable exploitation of the huge potential in the continent, while supporting the growth of a low-carbon economy.

The AfDB is a multilateral development bank established in 1964 to help reduce poverty, improve living conditions and mobilises resources for the continent’s economic and social development.

Source – The East African

Did you know that 2.4 billion people worldwide lack access to energy?  Hugh Whalan, CEO of Energy in Common (EIC), refers to these people as energy impoverished and has made it his mission to eradicate 15 million cases of energy poverty in the next 5 years by making green energy loans powered by individual contributions.

“2.4 billion people are forced to rely on archaic energy resources like dung, kerosene and firewood to live, work and play. These fuels are expensive, dangerous, and harmful to the environment. Many people have been talking about the problem and Co-founder Scott Tudman and I just decided to jump right in and attempt to fix it – one loan at a time if we have to,” Whalan explained, a clear thought leader in the space.  He noticed that energy was at the core of the cycle of poverty – for example, using antiquated forms of energy like firewood takes more time and money.  Without energy you can’t pump clean water, you can’t study or work after dark and you can’t refrigerate food, which causes 40% of agricultural produce to get wasted in developing countries.

An Australian, Whalan came to the US on an exchange program to Cornell and grew to love America’s “unique tolerance to risk.”   Entrepreneurs need to be able to fail to thrive, and he noted that while  ‘the attitude to risk in the US is perfect for entrepreneurs – it’s quite different from the attitude to risk back home.”

Launching last month, EIC works directly with microfinance institutions (MFIs) to reach their target market – the energy poor.  While 150 million people are reached by microfinance, less than 1% of those families have received an energy loan.   EIC makes loans of $50 to $1000 towards green energy for the energy poor, which includes fuel-efficient cook stoves, solar powered light and solar drip irrigation systems

EIC values being able to measure the environmental impact of its work. They administer questionnaires before and after the loans to collect detailed information on quarterly energy usage patterns.  They are also building an Ambassador program similar to Kiva’s Fellowship program to collect in depth socio economic data on loan recipients via questionnaires and interviews.  They are also implementing a program of in country auditors who collect and validate data on loan use.

Since EIC measures the emission reductions created by each green energy loan, they plan to allow lenders to purchase them to offset their personal emissions. “This will allow our lenders to offset their own emissions in a more personal way than ever before while knowing their purchase is helping to fund more green energy loans for the poor,” said Whalan.  That said, they will self-certify the offsets as UN certification is simply too expensive and time consuming for the scale they operate on.  Whalan has a background in the carbon markets and is passionate about improving the process so that its more usable for projects with the greatest impact on the poor, like his.

Like Kiva, lenders are repaid in full for the amount of the loan, but make no interest.  Lenders also get option to purchase a personalized carbon offset.

I’m always fascinated by organization structure.  Whalan told me he set EIC up as a non-profit for 2 reasons

  1. The brand is important. And as a grassroots consumer facing organization they felt they could build more trust as a nonprofit.
  2. They wanted to not only address the problem with loans, but also raise awareness around energy poverty, and showcase models that work, an activity typically relegated to nonprofits.

Source – http://www.triplepundit.com/2010/05/energy-in-common-lkiva-poverty

Substantial action is required to limit the increase of global average temperature to less than 2 degrees C

Major greenhouse gas-emitting countries agreed in December climate talks held in Copenhagen that substantial action is required to limit the increase of global average temperature to less than 2 degrees C (3.6 degrees F). In a paper appearing May 3 in the Proceedings of the National Academy of Sciences (PNAS), Veerabhadran Ramanathan and Yangyang Xu, climate researchers at Scripps Institution of Oceanography, UC San Diego, have identified three avenues by which those countries can avoid reaching the warming threshold, a point beyond which many scientists believe climate change will present unmanageable negative consequences for society. “Without an integrated approach that combines CO2 emission reductions with reductions in other climate warmers and climate-neutral air-pollution laws, we are certain to pass the 2-degree C and likely reach a 4 degree C threshold during this century,” said Ramanathan.

“Fortunately there is still time to avert unmanageable climate changes, but we must act now.” Using a synthesis of National Science Foundation-funded research performed over the last 20 years, Ramanathan and Xu describe three steps that must be taken simultaneously to avoid the threshold, stressing that carbon dioxide control alone is not sufficient.

Recommended steps include stabilizing CO2 concentrations in the atmosphere, and fashioning warming-neutral pollution laws that will balance the removal of aerosols that have an atmospheric cooling effect with the removal of warming agents such as soot and ozone.

Finally, the authors advocate achieving reductions in methane, hydrofluorocarbons and other greenhouse gases that remain in the atmosphere for short periods of time. The authors write that aggressive simultaneous pursuit of these strategies could reduce the probability of reaching the temperature threshold to less than 10 percent before the year 2050. “By taking a comprehensive look at human induced climate change, this paper clearly separates the global actions which must be undertaken simultaneously — and how quickly these actions must be taken,” said Larry Smarr, founding Director of the California Institute for Telecommunications and Information Technology (Calit2) and a collaborator with Ramanathan on CO2 reduction strategies. “This paper should be required reading for all policy makers.”

The 2-degree C global temperature increase limit translates to a radiant energy increase of 2.5 watts per square meter. Ramanathan and Xu note that even if greenhouse gas emissions stop increasing in the next five years, human activities will probably create almost double that much radiant energy, which is compensated partially by the masking effect of certain kinds of aerosols that are produced in large part by pollution. Tiny particles of sulfates and other pollutants serve to cool the atmosphere by reflecting sunlight rather than absorbing it, directing heat away from the earth’s surface.

Therefore, the authors argue, pollution control measures must take into account and counterbalance the warming that will happen when certain types of pollutants are removed from the skies. Ramanathan and Xu acknowledge that there are uncertainties about the nature of aerosols and the sensitivity of climate to mitigation actions that make the effects of their suggested course of action hard to determine with precision. They propose demonstration projects to clarify and reduce the uncertainties and verify the efficacies of the various mitigation avenues proposed in the study. The authors add that trends in energy added to the oceans would respond to mitigation actions even before 2050, making them an important diagnostic tool that can gauge the success of mitigation within 20 years.

Supporters of the so-called Copenhagen Accord agreed that the 2-degree C threshold must not be crossed, but the United Nations-sponsored conference did not produce hoped-for binding targets for greenhouse gas emissions reductions. Scientists have suggested that exceeding that temperature threshold would trigger irreversible phenomena such as widespread release of methane from melting permafrost and large-scale glacial melt, both of which scenarios would exacerbate climate change-related problems such as sea-level rise and acceleration of global warming.

Avoiding the threshold requires holding carbon dioxide levels to less than 441 parts per million, according to the authors, only slightly higher than today’s value of 389 ppm. This equates to a 50-percent reduction in greenhouse gas emissions by 2050 and an 80-percent reduction by 2100. Ramanathan and Xu acknowledge that such drastic reduction will require a “portfolio of actions in the energy, industrial, agricultural and forestry sections.” Some of these actions will require development of new technologies. “A massive decarbonization of the energy sector is necessary to accomplish this Herculean task,” the authors write. But the strategies not focused on CO2 reduction can largely take advantage of existing technologies and more aggressive enforcement of existing regulations.

Actions that can be taken immediately include replacement of biomass-fueled stoves with cleaner alternatives in developing countries and retrofitting of diesel filters on vehicles throughout the world. “The ‘low-hanging fruits’ approach to one of mankind’s great challenges is very appealing because it is a win-win approach,” said Jay Fein, program director in NSF’s Division of Atmospheric and Geospace Sciences, which funds much of Ramanathan’s research.

Source – 7th Space

Environ Health Perspect. 2010 Mar 22.

Airborne Endotoxin Concentrations in Homes Burning Biomass Fuel.

Semple S, Devakumar D, Fullerton DG, Thorne PS, Metwali N, Costello A, Gordon SB, Manandhar DS, Ayres JG.

Scottish Centre for Indoor Air Population Health, University of Aberdeen.

Background: About half of the world’s population is exposed to smoke from burning biomass fuels at home. The high airborne particulate levels in these homes and the health burden of exposure to this smoke is well described. Burning unprocessed biological material such as wood and dried animal dung may also produce high indoor endotoxin concentrations. This study measured airborne endotoxin levels in homes burning different biomass fuels.

Methods: Air sampling was carried out in homes burning wood or dried animal dung in Nepal (n=31) and wood, charcoal or crop residues in Malawi (n=38). Filters were analysed for endotoxin content expressed as airborne endotoxin concentration and endotoxin per mass of airborne particulate.

Results: Airborne endotoxin concentrations were high. Averaged over 24h in Malawian homes, median concentrations of total inhalable endotoxin were 24 EU/m3 in charcoal-burning homes and 40 EU/m3 in wood-burning homes. Short cooking-time samples collected in Nepal produced median values of 43 EU/m3 in wood-burning homes and 365 EU/m3 in dung-burning homes suggesting increasing levels with movement down the energy ladder of unprocessed solid fuels.

Conclusions: Airborne endotoxin concentrations in homes burning biomass fuels are orders of magnitude higher than those found in homes in developed countries where endotoxin exposure has been linked to respiratory illness in children. There is a need for work to identify the determinants of these high concentrations, interventions to reduce exposure and health studies to examine the effects of these sustained, near-occupational levels of exposure experienced from early life.

Epidemiol Rev. 2010 Apr 8.

Risk of Low Birth Weight and Stillbirth Associated With Indoor Air Pollution From Solid Fuel Use in Developing Countries.

Pope DP, Mishra V, Thompson L, Siddiqui AR, Rehfuess EA, Weber M, Bruce NG.

Exposure to indoor air pollution from solid fuel use (IAP) has been linked to approximately 1.5 million annual deaths (World Health Organization (http://www.who.int/indoorair/publications/fuelforlife/en/index.html)) due to acute lower respiratory infections in children <5 years of age and chronic obstructive lung disease and lung cancer in adults.

Emerging evidence suggests that IAP increases the risk of other conditions, including adverse pregnancy outcomes. To establish the relation of IAP with birth weight and stillbirth, systematic reviews with meta-analyses were conducted. Studies reporting outcomes of mean birth weight, percentage of low birth weight (LBW; <2,500 g), and/or stillbirth and assessing IAP were identified. Five LBW studies (of 982) and 3 stillbirth studies (of 171) met inclusion criteria for the reviews. Fixed-effect meta-analyses (I(2) = 0%) found that IAP was associated with increased risk of percentage LBW (odds ratio = 1.38, 95% confidence interval: 1.25, 1.52) and stillbirth (odds ratio = 1.51, 95% confidence interval: 1.23, 1.85) and reduced mean birth weight (-95.6 g, 95% confidence interval: -68.5, -124.7).

Evidence from secondhand smoke, ambient air pollution, and animal studies-and suggested plausible mechanisms-substantiate these associations. Because a majority of pregnant women in developing countries, where rates of LBW and stillbirth are high, are heavily exposed to IAP, increased relative risk translates into substantial population attributable risks of 21% (LBW) and 26% (stillbirth).

Bioresour Technol. 2010 Jun;101(12):4362-70.

Methane production in low-cost, unheated, plug-flow digesters treating swine manure and used cooking grease.

Lansing S, Martin JF, Botero RB, da Silva TN, da Silva ED.

Department of Environmental Science and Technology, University of Maryland, 1445 Animal Sci./Ag. Eng. Bldg., College Park, MD 20742-2315, USA. slansing@umd.edu

A co-digestion investigation was conducted using small-scale digesters in Costa Rica to optimize their ability to treat animal wastewater and produce renewable energy. Increases in methane production were quantified when swine manure was co-digested with used cooking grease in plug-flow digesters that operated at ambient temperate without mixing. The co-digestion experiments were conducted on 12 field-scale digesters (250 L each) using three replications of four treatment groups: the control (T0), which contained only swine manure and no waste oil, and T2.5, T5, and T10, which contained 2.5%, 5%, and 10% used cooking grease (by volume) combined with swine manure. The T2.5 treatment had the greatest methane (CH(4)) production (45 L/day), a 124% increase from the control, with a total biogas production of 67.3 L/day and 66.9% CH(4) in the produced biogas. Increasing the grease concentration beyond T2.5 produced biogas with a lower percentage of CH(4), and thus, did not result in any additional benefits. A batch study showed that methane production could be sustained for three months in digesters that co-digested swine manure and used cooking grease without daily inputs. The investigation proved that adding small amounts of grease to the influent is a simple way to double energy production without affecting other digester benefits.

J Environ Monit. 2010 Apr 9;12(4):873-8.

Estimating personal PM2.5 exposures using CO measurements in Guatemalan households cooking with wood fuel.

Northcross A, Chowdhury Z, McCracken J, Canuz E, Smith KR. Environmental Health Sciences, School of Public Health, University of California, Berkeley, CA 94720-7360, USA.

As a part of a longitudinal study in the highlands of Guatemala to elicit the chronic health effects of wood smoke from cooking, mean area and personal 48 h concentrations of 2.5 microm particulate matter (PM2.5) and carbon monoxide (CO) were measured every 3 months over 19 months. Monitoring was conducted in 63 households, 28 using traditional open wood fires and 35 using wood cookstoves with chimneys. The goal of this paper is to estimate personal exposure concentrations to PM2.5 using the measurements from CO diffusion tubes as a proxy.

CO tubes are cheaper and easier to use than PM-monitoring devices, and can be worn by all family members, even infants. The relationship of PM2.5 and CO was determined by comparing measurements from both co-located instruments. CO measurements in ppm were corrected for temperature and pressure to mass concentrations. PM2.5 exposure was modeled with the following linear regression created using measured concentrations: PM2.5 (mg m(-3)) = 0.10 (0.093, 0.12) x CO (mg m(-3)) + 0.067 (0.0069, 0.13), R(2) = 0.76.

No significant difference was found between the separate regressions for open fires and cookstoves. No significant improvement was obtained by applying a mixed statistical model. The equation was used to estimate personal exposures of PM2.5 using personal CO measurements from CO tubes worn by women, infants under 18 months, and children 48-72 months. Estimated 48 h mean personal PM2.5 concentrations for mother, infants, and children in open-fire homes were 0.27 +/- 0.02, 0.20 +/- 0.02, and 0.16 +/- 0.02 mg m(-3) respectively. In chimney-stove homes, mothers and children experienced PM2.5 personal concentrations of 0.22 +/- 0.03 and 0.14 +/- 0.03 mg m(-3), respectively.