LONDON (Reuters) – An alliance of the world’s top public health researchers set out plans on Monday to invest tens of millions of dollars in heart and lung disease studies in a battle against a global epidemic of chronic disease.

The group of agencies, which together manage around 80 percent of global public health research funding, said the health impact and socio-economic costs of chronic non-communicable diseases (CNCDs) was “enormous and rising.”

Experts estimate that unless action is stepped up, 388 million people worldwide will die prematurely in the next decade of chronic non-communicable diseases — which include heart disease, stroke, some cancers, lung conditions, and type 2 diabetes.

“The epidemic of chronic disease in the world has accelerated. We urgently need to understand how to reverse the trend, not just in small trials, but in all the world communities,” said Oxford University’s David Matthews, executive director of the Global Alliance for Chronic Diseases (GACD).

Dr. Abdallah Daar of the McLaughlin-Rotman Center for Global Health in Toronto, GACD’s chairman, said it expects to invest tens of millions of dollars in coordinated research programs over five years. He could not put a final figure on the projects, since grants have not yet been decided.

Around 11.5 million deaths a year are attributed to hypertension, or high blood pressure, tobacco and indoor air pollution from cooking stoves, the alliance said, making these three areas its first priorities.

High blood pressure and tobacco use are often seen as health problems for richer nations, but the World Health Organization lists them as the top killers worldwide.

Governments and wealthy donors have channeled billions of dollars in recent years into fighting infectious diseases such as malaria or the AIDS virus in the developing world, but chronic disease is now a growing threat there too.

Experts estimate that without action, China and India will lose $558 billion and $237 billion respectively in national income over the next decade due to heart disease, stroke and diabetes.

The GACD was set up in June by six of the world’s most prominent health research agencies — Australia’s National Health and Medical Research Council, the Canadian Institutes of Health Research, the Chinese Academy of Medical Sciences, the Indian Council of Medical Research, Britain’s Medical Research Council, and the U.S. National Institutes of Health (NIH).

Elizabeth Nabel, director of the U.S. National Heart Lung and Blood Institute at the NIH and a leading member of the GACD, said its focus would be on so-called “implementation science.”

“We as institutions have already funded a significant amount of work in hypertension and tobacco control, for example — so much of the basic science and the evidence base is already known,” she said in a telephone interview.

The GACD would take that knowledge and collaborate on projects looking at how to use the science learned from richer nations’ experiences with chronic disease to help fight the rising tide in developing countries, she said.

Daar said political collaboration was crucial: “We don’t want this to end with the publication of a paper, we want it to change policy and save lives.”

Source – Reuters, Nov. 16, 2009

PRLog (Press Release) – Nov 16, 2009 – VIENNA– Today, ennovent together with Indian and international partners launched the Global Energy Challenge: Advancing Change – Energy for India’s Poor. This Challenge invites enterprises from India and around the world to submit proven, for-profit solutions that can meet some of the critical energy needs of India’s poor. ennovent will invest up to USD 500,000 to launch or scale the winning enterprise in India and is offering a reward of USD 3,000 to the nominator.

Inadequate access to energy is part of the poverty trap for the majority of India’s poor. Despite massive investment by the Government of India in expanding access to electricity, many communities are still in need of services, especially those in remote areas. The private sector is already playing a key role in helping the government meet its goal to ensure energy for all. Additional investments into innovations – new products, services, processes, or business models – are needed to bring energy services to India’s poor.

‘Access to clean, reliable and affordable energy has long been recognised as critical to ending poverty. Poor people can and will pay for energy services and innovative market based solutions have the potential to make a huge difference to people’s lives’, says GVEP International’s CEO Sarah Adams.

The ‘Solver’ of the Challenge should be a for-profit enterprise from India or anywhere in the world and open to accept an investment to launch or scale the innovation in India. Anyone who knows a potential Solver can participate as a Connector by nominating a Solver.

Peter Scheuch, Managing Director of ennovent, stresses the need to learn from global best practice: ‘Different innovative, for-profit solutions to provide access to energy for poor people exist in India and different parts of the world. We have to make an effort to adapt these solutions to the needs of India’s poor and scale them to reach as many people as possible.‘

ennovent and its partners will select and reward the winning Solver based on a set of criteria, e.g., that the solution provides affordable access to energy; is relatively simple and convenient to use; has no or minimal negative environmental effects; and has the potential to have a positive social impact on a large number of poor people in India.

Challenge partners are the Renewable Energy and Energy Efficiency Partnership (REEEP), GVEP International (Global Village Energy Partnership), HEDON Household Energy Network, New Ventures India, Indian Institute of Technology (IIT) Bombay, Indian Institute of Management (IIM) Ahmedabad and Bangalore, Vienna University of Business Administration, Vienna University of Technology, and Entrepreneurship Center Vienna (ECV).

The deadline for submitting solutions and nominating solvers is 31 January 2010 on the ennovent website (www.ennovent.com).

“Learning from best practices in one part of the world and helping to apply them in another is vital to widening access to energy for the poor” notes Marianne Osterkorn, Director-General of REEEP, “so it’s a pleasure for us to support the Global Energy Challenge. We strongly urge anyone with innovative and successful clean energy initiatives that make a real difference for the poor- anywhere in the world- to make a submission.”

There are more than 20 million small-scale urban biogas digesters in cities in China, and more than 2 million in cities in India. And now, thanks to our Solar CITIES associates and supporters we now have 8 in Egypt, 5 of them in some of the poorest sections of inner city Cairo.

O.K., comparatively speaking 8 is nothing.

But when one is measuring environmental progress at the household level it is hard to beat China and India — they’ve had government policies aimed at supporting “appropriate technology” for decades and their cultures contain an entrepreneurial spirit when it comes to enviro-tech that is hard to beat because the household demand in the face of poverty and environmental degradation is huge. A more fair comparison would be with the number of known urban household biodigesters in Germany: 1. It’s on our porch. And this is in a country that is one of the kings of biogas production (we should know — our neighbor in the next town, Imbrahm, has a 1 million Euro facility that processes all the restaurant waste from the surrounding cities to produce millions of Kw of electricity and hot water every year).

Small scale urban bio-digesters are uncommon in the “developed world” if they can be found at all (try to find one in America!). And in developing countries biogas facilities have been largely a rural phenomenon, relying on animal wastes. So 8 small-scale CITY digesters in Egypt appearing within the last 8 months isn’t such a bad figure when you consider that Egypt still faces the greatest barrier to the deployment and acceptance of renewable energy systems:

Read complete article – http://solarcities.blogspot.com

Mahmodul Hasan, Abdus Salam, A.M. Shafiqul Alam

Identification and characterization of trace metals in black solid materials deposited from biomass burning at the cooking stoves in Bangladesh,

Biomass and Bioenergy, Volume 33, Issue 10, October 2009, Pages 1376-1380, ISSN 0961-9534, DOI: 10.1016/j.biombioe.2009.05.023.

In this study we have reported the emissions of trace metals from biomass burning at the cooking stoves. Black solid materials deposited from two different types of biomass (rice husk coils – type 1; mixed (straw, bamboo, cow dung, leaves and plants) biomasses – type 2) burning at the cooking stoves were collected from the top of the stoves (but inside the roof of the kitchen) in Narsingdi, Dhaka, Bangladesh.

Systematic chemical analysis was done for both samples. Lead, mercury, iron and calcium were identified in sample type-1, and lead, iron and magnesium were identified in sample type-2. The concentration of the trace element was determined with an atomic absorption spectrophotometer. The average concentrations of lead, iron, cadmium calcium, potassium and magnesium were 95.6, 11520, 8.33, 1635, 17.1 and 443.1 mg kg-1, respectively in sample type-1. The average concentration of lead, iron, cadmium calcium, potassium and magnesium were 125.2, 12360, 12.0, 1648, 21.5 and 534.2 mg kg-1, respectively in sample type-2. However, the average concentrations of the determined trace elements followed the sequences, Fe > Ca > Mg > Pb > K > Cd.

The emission of lead, iron, cadmium, calcium, potassium and magnesium were much higher from mixed biomass (type-2) compared than the rich husk coils (type-1). The mixed biomass produced about 31% higher lead, 44% higher cadmium, 26% higher potassium, and 21% higher magnesium compared than the rice husk coils. This is the first systematic analysis for the trace metal emissions from different types of biomass burning at the cooking stoves in Bangladesh.

All presentations from the 4th Biennial Partnership for Clean Indoor Air Forum in Kampala, Uganda March 23 – 29, 2009 are on the PCIA website at:  http://www.pciaonline.org/proceedings/2009Forum

Below are links to the presentations with a health focus:

ENVIRONMENT: ‘Temperature Rise Guaranteed, Thanks to Brown Clouds’

By Keya Acharya

NEW DELHI, Nov 9 (IPS) – Regardless of success at the upcoming climate talks at Copenhagen this December, there will still be a 2.5 degree rise in temperatures.

Dr Veerabhadra Ramanathan, director of the Centre for Atmospheric Sciences of the Scripps Institute of Oceanography at the University of California-Berkeley, has predicted that an “incredibly complex blanket” of greenhouse gases called the ‘Atmospheric Brown Cloud’ (ABC) will ensure such a temperature rise.

At an international gathering of climate science journalists in the Indian capital late last month, Ramanathan, a pioneer of global warming science and discoverer of the notorious ABC, said the world’s focus on reducing emissions without paying equal attention to reducing the ABC would have practically no effect on reducing global temperature rise.

“Even if COP15 [the 15th Conference of the Parties to the United Nations Framework Convention on Climate Change] at Copenhagen this December were to succeed in agreeing to a 50 percent reduction in emissions by 2050 from industrialised nations, half of all carbon dioxide emissions, currently at 8.5 billion tonnes yearly and increasing, remains in the atmosphere for over 100 years,” explained Ramanathan.

“So even if COP succeeds you still have at least 2.5 degrees rise in global warming.”

A new and more ambitions global agreement on climate change is expected to be drawn in the two-week summit in Copenhagen, which would complement the Kyoto Protocol, set to expire in 2012.

The ABC is a dense blanket of smog hanging low over the atmosphere in many parts of the U.S., including a dramatically visible one over New Delhi, Los Angeles, Brazil and over Africa, but at its densest over China and South Asia.

The smog is caused by ‘black carbon’ or soot emitted from burning biomass, such as from wood stoves and vehicular emissions, especially from diesel.

Ramanathan along with India’s leading glaciologist Dr Syed Iqbal Hasnain of The Energy Resources Institute at New Delhi and Dr Rajesh Kumar, scientific officer of glaciology at the Birla Institute of Technology at Rajasthan in northwestern India, agreed that the ABC is melting the Himalayan glaciers with its black carbon aerosol deposits on the snows.

Kumar said the Himalayan glaciers are retreating at the rate of 21.3 metres per year.

Total global emissions of black carbon currently stand at approximately eight million tonnes. Residual cooking stoves contribute 25 percent and open burning, 42 percent to the world’s black carbon blanket.

The ABC has a double-negative effect of trapping greenhouse gases low over the earth while simultaneously blocking the good effects of the sun from entering the earth’s atmosphere. Ramanathan thus likened it to a “double whammy” of global warming gases trapping certain parts of the world.

As far as the Intergovernmental Panel on Climate Change—an international scientific body —is concerned, black carbon is the largest contributor to the atmospheric brown cloud, forming as much 55 percent of its composition in certain areas of the atmosphere over the earth. Ozone contributes 20 percent to the brown cloud, methane forms 30 percent and halocarbons, 20 percent of this mass.

Ramanathan’s discovery of the ABC, caused by carbon emissions from burning wood stoves—the findings of which were published shortly before the World Summit on Sustainable Development (WSSD) in 2002 at Johannesburg—drew an angry rebuttal from developing nations like India.

He had previously called ABC the ‘Asian Brown Cloud’, until he realised it extended beyond the Asian region.

The well-known New Delhi-based Centre for Science and Environment (CSE) accused Ramanathan of deflecting attention from the U.S. and industrialised nations’ responsibility to reduce atmospheric emissions just prior to the WSSD, the importance of which to developing nations was likened to the Earth Summit in Rio de Janeiro 10 years earlier.

Sunita Narain, director of CSE, said the report, besides being political, offered no respite or solutions to millions of poor people in south and southeast Asia, who depend on fuel stoves for cooking.

“We handled the issue as a scientific one without human concerns, so I was wrong. It is a worldwide problem,” admitted Ramanathan in New Delhi last week. The name of the notorious gas blanket was also subsequently changed to ‘atmospheric brown cloud’.

“I don’t know why India should feel defensive,” mused Ramanathan to journalists at a congress of the International Federation of Environmental Journalists in Delhi. “Its global carbon-dioxide emissions are less than 2.5 percent,” he said.

In 2002 Ramanathan said a study called the ‘Indian Ocean Experiment’, a Europe-India- U.S. collaboration which dug deeper into the seasonal phenomenon was initiated. Satellite and aerial maps over the world in 2006 and 2007 showed a ‘huge’ brown cloud over China, South Asia and parts of South-east Asia.

This black carbon is now threatening the world’s mountains as never before. Satellite imagery from the U.S.-based National Aeronautics and Space Administration has shown black carbon residue particles on Mount Everest. Along with the trapped greenhouse gases over the snows, atmospheric temperature rise is melting glaciers.

At Leh last week in the hauntingly desolate landscape of a mountainous desert in Kashmir state of northern India, the international French non-governmental Groupe Energies Renouvelables, Environnement et Solidarités, or GERE, said glacier retreat is now a reality in every part of Ladakh district.

The organisation analysed meteorological data of the region from 1973 onwards and found an increase of over one degree centigrade in the last 35 years for the winter months in Ladakh, a sharp increase in summer temperatures in July and August, coupled with an equally sharp decline in snowfall December to March.

Seventy percent of the region’s snowfall, which feeds the water basins of the entire region extending down to the plains beyond, falls during these winter months.

Although no fast statistics have yet been compiled on the contribution of black carbon to the Hindu Kush and Himalayan-Tibetan glaciers, Prof Hasnain said during last week’s field visit of journalists to Leh that as much as 50 percent of Himalayan glaciers are affected by black carbon deposits.

Hasnain, however, cited irrefutable data from the Drang Dung glacier in the Zanskar region of Ladakh, the Chota Sigri glacier in bordering Himachal Pradesh and the East Rathong glacier in the eastern Himalayas.

“They are definitely shrinking,” said Hasnain. “We have to link climate change with the drivers of glacial melt.” He added that China, along with India, has yet to take strong measures to stop its emissions of black carbon aerosols.

The good news about black carbon, said Dr Ramanathan, is that it can be removed in as fast as 10 days if adequate measures are taken to stop its emission.

Both Ramanathan and Hasnain are pressing for buttonholing the transport sector in India. “We could start with mandating the use of diesel particulate filters in transportation trucks,” said Ramanathan. He added, though, that the problem also requires western nations to cut their carbon emissions.

“While the engagement of Asia is critical for reducing future black carbon emission, the lead by Europe and the U.S. is as critical for reducing warming,” said Ramanathan.

The prospects for removing biofuel cooking stoves from the masses of poor in India and the rest of Asia, however, remain elusive.

“If only we could provide an alternative fuel,” said Ramanathan wistfully.

Source – http://ipsnews.net/news.asp?idnews=49188

J Public Health (Oxf). 2009 Nov 5.

Newspaper reports: a source of surveillance for burns among women in Pakistan.

Nasrullah M, Muazzam S. Injury Control Research Center, West Virginia University, PO Box 9151, Morgantown, WV 26506, USA.

BACKGROUND: Our study attempts to describe the demographics, characteristics of victims and perpetrators, and circumstances leading to burn events among females in Pakistan.

METHODS: Human Rights Commission of Pakistan (HRCP) systematically collected data on burns among women using newspaper reports from January 2004 till December 2005. We analyzed the aggregated data and estimated burn rates.

RESULTS: A total of 222 burn events were reported from 2004 to 2005; complete data were not available for all variables. Adults (>/=18 years) constituted 74% (91/123) of cases with 95% (121/127) being married. Most burns were caused by bursting of stoves (34%; 64/189) or victims set-on fire (33%; n = 63/189). Burns using acids accounted for 13% (25/189). Husbands (52%; 51/98) and in-laws (23%; 23/98) were the perpetrators in known burn events. Burns were classified as accidental in half of cases (51%; 97/189) and related to domestic issues in a quarter (25%; 47/189). There were 49% of (92/189) burns that were reported as intentional. The mean annual rate of burns among women (15-64 years of age) was found to be 33 per 100 000.

CONCLUSION: Newspaper reports are good source of surveillance when information is otherwise limited. Majority of burns (51%) were classified as accidental while 49% were reported as intentional, though there is a limitation in the accuracy of reported accidental events. There is a dire need for systematic data collection and devising preventive strategies for this important public health problem that remains largely neglected in Pakistan.

J Epidemiol Community Health. 2009 Nov;63(11):887-92.

Solid fuel use and cooking practices as a major risk factor for ALRI mortality among African children.

Rehfuess EA, Tzala L, Best N, Briggs DJ, Joffe M.

Department of Medical Informatics, Biometry and Epidemiology, University of Munich, Munich, Germany.

rehfuess@ibe.med.uni-muenchen.de

BACKGROUND: Almost half of global child deaths due to acute lower respiratory infections (ALRIs) occur in sub-Saharan Africa, where three-quarters of the population cook with solid fuels. This study aims to quantify the impact of fuel type and cooking practices on childhood ALRI mortality in Africa, and to explore implications for public health interventions.

METHODS: Early-release World Health Survey data for the year 2003 were pooled for 16 African countries. Among 32,620 children born during the last 10 years, 1455 (4.46%) were reported to have died prior to their fifth birthday. Survival analysis was used to examine the impact of different cooking-related parameters on ALRI mortality, defined as cough accompanied by rapid breathing or chest indrawing based on maternal recall of symptoms prior to death.

RESULTS: Solid fuel use increases the risk of ALRI mortality with an adjusted hazard ratio of 2.35 (95% CI 1.22 to 4.52); this association grows stronger with increasing outcome specificity. Differences between households burning solid fuels on a well-ventilated stove and households relying on cleaner fuels are limited. In contrast, cooking with solid fuels in the absence of a chimney or hood is associated with an adjusted hazard ratio of 2.68 (1.38 to 5.23). Outdoor cooking is less harmful than indoor cooking but, overall, stove ventilation emerges as a more significant determinant of ALRI mortality.

CONCLUSIONS: This study shows substantial differences in ALRI mortality risk among African children in relation to cooking practices, and suggests that stove ventilation may be an important means of reducing indoor air pollution

Occup Environ Med. 2009 Nov;66(11):777-83.

Biomass fuel use and indoor air pollution in homes in Malawi.

Fullerton DG, Semple S, Kalambo F, Suseno A, Malamba R, Henderson G, Ayres JG, Gordon SB.

Malawi-Liverpool-Wellcome Clinical Research Laboratories, University of Malawi, Blantyre, Malawi. duncan.fullerton@liverpool.ac.uk

BACKGROUND: Air pollution from biomass fuels in Africa is a significant cause of mortality and morbidity both in adults and children. The work describes the nature and quantity of smoke exposure from biomass fuel in Malawian homes.

METHODS: Markers of indoor air quality were measured in 62 homes (31 rural and 31 urban) over a typical 24 h period. Four different devices were used (one gravimetric device, two photometric devices and a carbon monoxide (HOBO) monitor. Gravimetric samples were analysed for transition metal content. Data on cooking and lighting fuel type together with information on indicators of socioeconomic status were collected by questionnaire.

RESULTS: Respirable dust levels in both the urban and rural environment were high with the mean (SD) 24 h average levels being 226 microg/m(3) (206 microg/m(3)). Data from real-time instruments indicated respirable dust concentrations were >250 microg/m(3) for >1 h per day in 52% of rural homes and 17% of urban homes. Average carbon monoxide levels were significantly higher in urban compared with rural homes (6.14 ppm vs 1.87 ppm; p<0.001). The transition metal content of the smoke was low, with no significant difference found between urban and rural homes.

CONCLUSIONS: Indoor air pollution levels in Malawian homes are high. Further investigation is justified because the levels that we have demonstrated are hazardous and are likely to be damaging to health. Interventions should be sought to reduce exposure to concentrations less harmful to health.

Environmental monitoring and assessment. 2009 Oct;157(1-4):407-18.

Global warming mitigation potential of biogas plants in India.

Pathak H, Jain N. Unit of Simulation and Informatics, Indian Agricultural Research Institute, New Delhi, 110012, India. hpathak@cgiar.org

Biogas technology, besides supplying energy and manure, provides an excellent opportunity for mitigation of greenhouse gas (GHG) emission and reducing global warming through substituting firewood for cooking, kerosene for lighting and cooking and chemical fertilizers. A study was undertaken to calculate (1) global warming mitigation potential (GMP) and thereby earning carbon credit of a family size biogas plant in India, (2) GMP of the existing and target biogas plants in the country and (3) atmospheric pollution reduction by a family size biogas plant. The GMP of a family size biogas plant was 9.7 t CO(2) equiv. year( – 1) and with the current price of US $10 t( – 1) CO(2) equiv., carbon credit of US $97 year( – 1) could be earned from such reduction in greenhouse gas emission under the clean development mechanism (CDM).

A family size biogas plant substitutes 316 L of kerosene, 5,535 kg firewood and 4,400 kg cattle dung cake as fuels which will reduce emissions of NOx, SO(2), CO and volatile organic compounds to the atmosphere by 16.4, 11.3, 987.0 and 69.7 kg year( – 1), respectively. Presently 3.83 million biogas plants are operating in the country, which can mitigate global warming by 37 Mt CO(2) equiv. year( – 1). Government of India has a target of installing 12.34 million biogas plants by 2010. This target has a GMP of 120 Mt CO(2) equiv. year( – 1) and US $1,197 million as carbon credit under the CDM. However, if all the collectible cattle dung (225 Mt) produced in the country is used, 51.2 million family size biogas plants can be supported which will have a GMP of 496 Mt of CO(2) equiv. year( – 1) and can earn US $4,968 million as carbon credit. The reduction in global warming should encourage policy makers to promote biogas technology to combat climate change and integration of carbon revenues will help the farmers to develop biogas as a profitable activity.