SUPPLEMENT TO JAPI • F E B R U A R Y   2012 • VOL. 60

Risk Factors and Pathophysiology of Chronic Obstructive Pulmonary Disease (COPD)

Bill B Brashier, Rahul Kodgule

COPD is a progressive inflammatory disease of the lung characterized by chronic bronchitis, airway thickening and emphysema. Being the third largest cause of worldwide mortality and showing a steeply rising trend in global prevalence, COPD is likely to emerge as the most important disease for the physicians to manage. Understanding the basic pathophysiology of COPD will be of great assistance in diagnosing and treating the disease in circumstances where new mechanisms, diagnostic tests and drug therapies are emerging at a rapid pace. The pathophysiology of the disease is complicated and largely undiscovered. However, with the advent of new technology and widespread advances in research the thick cloud cover over the pathophysiology of COPD is rapidly unveiling.

Env Health Perspec, Feb 2012

Who Adopts Improved Fuels and Cookstoves? A Systematic Review

Jessica J. Lewis, Subhrendu K. Pattanayak

BACKGROUND: Increasing global focus on improved cookstoves (ICS) and clean fuels arises from their potential for delivering triple dividends of (1) household health, (2) local environmental quality and (3) regional climate benefits. However, ICS and clean fuel dissemination programs have met with low rates of adoption.

OBJECTIVES: We review empirical studies on ICS and fuel choice to describe the literature, examine determinants of fuel and stove choice, and identify knowledge gaps.

METHODS: We conduct a systematic review of the literature on the adoption of ICS or cleaner fuels by households in developing countries. Results are synthesized through a simple vote-counting meta-analysis.

RESULTS: We identify 32 research studies that contain 146 separate regression analyses of ICS adoption (11 analyses) or fuel choice (135 analyses) from Asia (60%), Africa (27%), and Latin America (19%). Most studies apply multivariate regression methods to consider 7 – 13 determinants of choice. Income, education and urban location are positively associated with adoption in most (not all) studies. However, the influence of fuel availability and prices, household size and composition, and gender is unclear. Potentially important drivers such as credit, supply-chain strengthening and social marketing have been ignored.

CONCLUSIONS: Adoption studies of ICS or clean energy are scarce, scattered and of differential quality, even while global distribution programs are quickly expanding. Future research must examine an expanded set of contextual variables to improve implementation of stove programs that can realize the “win-win-win” associated with these technologies.

Atmos. Chem. Phys., Jan 2012

Link between local scale BC emissions in the Indo-Gangetic Plains and large scale atmospheric solar absorption

P. S. Praveen, et al

Project Surya has documented indoor and outdoor concentrations of black carbon (BC) from traditional biomass burning cook stoves in a rural village located in the Indo-Gangetic Plains (IGP) region of N. India from November 2009–September 2010. In this paper, we systematically document the link between local scale aerosol properties and column averaged regional aerosol optical properties and atmospheric radiative forcing. The atmospheric forcing due to BC and OC exceeded 20 Wm−2 during all months from November to May, supporting the deduction that elimination of cook stove smoke emissions through clean cooking technologies will likely have a major positive impact not only on human health but also on regional climate.

Each year we ask all PCIA Partners to submit results reports highlighting their activities throughout the previous year. This includes information about the countries in which Partners operate, their stove testing activities, the number and types of stoves sold, training and outreach efforts, financing options utilized to increase affordability to consumers, goals for the coming year and more. This special edition of the PCIA Bulletin highlights the results of PCIA Partners in 2010.

Contents

Introduction: The 2010 Results Story

  • 2010 Partner Results Highlights
  • PCIA Experiences Phenomenal Growth
  • Stove Testing Continues to Rise
  • Importance of Stove Testing for Increased Sales
  • Stove Standards as a Driving Force for Sales
  • Innovative Approaches to Overcoming Barriers
  • Multidimensional Outreach Increases Community Awareness and Improved Stove Acceptance
  • Expanded Focus on End User Financing Options
  • PCIA Partners Who Provide Services Other than Manufacturing/Selling Stoves

2011 Results Reporting
PCIA and Global Alliance Integration Update
Looking Towards the Future
Acknowledgements

Improved Stove Evaluation in 3 rural communities – Ayaviri, Peru, 2011.

Kristen Matsumura, University of Colorado, Boulder

This report summarizes the findings of the stove evaluations including the performance improvements that can be expected from the improved stove which includes decreased cook time, decreased fuel consumption and significantly reduced indoor air pollution. It was found that despite performance improvements, most households were not using their improved stoves because they had not finished constructing their kitchens or because they were unaware of the benefits. It was also found that although reduction in smoke was significant in the improved stoves, emissions still exceeded World Health Organization standards.

Issue 40 January 27, 2012 | Year in Review – Health Impacts of WASH and IAP Interventions from 2011

This WASHplus Weekly issue contains nine 2011 studies on the health impacts of water, sanitation, and hygiene (WASH) interventions and seven 2011 studies on the health impacts of interventions to prevent or reduce indoor air pollution.

One WASH study (Water and Sanitation Program) calculates the economic costs to five East Asia countries due to losses related to poor sanitation.

On the IAP side, a study (Dix-Cooper) investigated whether early life chronic exposure to wood smoke is associated with children’s neurodevelopmental and behavioral performance. This seems to be the first study of its kind.

Gas cooking emissions can stifle infant development, Jan 26, 2012

Vrihheid, M, D Martinez, I Aguilera, M Bustamante, F Ballester, M Estarlich, A Fernandez-Somoano, M Guxens, N Lertxundi, MD Martinez, A Tardon, J Sunyer; on behalf of the INMA Project. 2011. Indoor air pollution from gas cooking and infant neurodevelopment. Epidemiology http://dx.doi.org/10.1097/EDE.0b013e31823a4023.

Synopsis by Aimin Chen

Cooking with a gas stove at home during pregnancy may produce unexpected side effects on the baby’s neurological development, suggests a Spanish study.

Cooking with a gas stove is very common in developed countries, but pollutants – such as nitrogen dioxide (NO2) – released when the gas burns may be related to poorer infant mental ability, finds a study published in the journal Epidemiology.

The infants born to mothers who cooked with gas stoves had slightly lower intelligence scores at ages 1 and 2 than those in homes without gas cookers. In homes with gas, infant scores were better if there was an exhaust fan above the stove.

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Aerosol and Air Quality Research, 12: 49–60, 2012

Impact of Different Household Fuel Use on Source Apportionment Results of House-Indoor RPM in Central India

Shamsh Pervez – et al.

Conventional character of household fuel use in India showed significant impact on residential-indoor air quality and consequently deteriorating personal air quality of inhabitants. Multi-complexity in location and type of industrial units along with haphazard traffic system are some of the major challenges in resolving relative source contribution with higher significance, especially in case of indoor and personal level air quality. On the basis of questionnaire survey that include daily activity pattern with use of household cooking fuel by local residents, three fuel categories identified: 1) Use of Liquid Petroleum Gas (LPG) stove, 2) Use of kerosene stoves and electric stoves and 3) Conventional stoves using coke and cow dung cakes.

In many of middle class residents, kitchen cooking is depending on all three categorized fuels. A longitudinal measurements of respirable particulate matter (RPM) in residential-indoors, ambient-outdoors of selected source sites and local-outdoor of road-traffic junctions have been monitored during October–December 2009. Sampling frequency was ten (twice in a week). Chemical Mass Balance (CMB8) was executed using source-routes and indoor-receptor compositional profiles. Results have shown significant variation in relative contributions of outdoor sources with potential impact of household fuel emission on source contributions of indoor RPM. Results also explained extent of contribution from road traffic emissions, local soils and major industrial complex to indoor RPM levels.

RELEVANCE: The study is the part of comprehensive assessment of source apportionment of particulate matter at ambient, indoor, personal and surface levels in urban-industrial environment of central India using. 21 chemical species have been analyzed using standard reported protocol of ICP-AES and ion-chromatograph. Source apportionment has been conducted using two methods: Preliminary- linear regression, then using CMB8.

Jan 21, 2012 – Kalinga finds ecology-friendly cooking stoves in termite mounds

RESEARCHERS in Kalinga have turned the termite mound into an efficient and environment-friendly stove, and that has encouraged people in the province to search for more mounds to make more stoves with.

“We are no longer afraid of termites,” one of the researchers said. He says they have turned the termites’ home into an efficient, soot-free and smokeless wood-fired stove where the combustion is almost perfect.

Termites are of course feared especially in the provinces, where most of the houses are made of wood that the insects just love.

“We are happy that our product is being received well by the market,” said Raquel Dulliyao, research coordinator of the Institute of Business Administration and Entrepreneurship of the Kalinga-Apayao State College in Tabuk City.

Source

International Journal of Collaborative Research on Internal Medicine & Public Health, Vol. 4 No. 1 (January 2012)

Does domestic cooking environment influence risk of respiratory morbidities in rural Indian women?

Neelam D Sukhsohale, Uday W Narlawar, Mrunal S Phatak, Suresh N Ughade

Background and objectives: Whether continued use of biomass fuels along with other fuels in presence of poor domestic cooking conditions is as detrimental to respiratory health as the exclusive use of biomass fuels is unknown. The present study is an attempt to assess the risks associated with indoor air pollution in the context of adverse domestic cooking environmental conditions in rural women of central India.

Methods: We conducted a community based, cross sectional study in 760 non-smoking, rural women of central India – 265 used non biomass fuels (Group A), 243 biomass and other fuels (Group B) while 252 exclusively biomass fuels (Group C). Exposure to domestic smoke was estimated according to the average time per day spent near the fireplace (exposure index). Abnormal pulmonary function of the study subjects was assessed by the measurement of peak expiratory flow rate (PEFR) according to standards recommended by American thoracic society. PEFR less than 80% of the predicted was considered as abnormal pulmonary function.

Background and objectives: Whether continued use of biomass fuels along with other fuels in presence of poor domestic cooking conditions is as detrimental to respiratory health as the exclusive use of biomass fuels is unknown. The present study is an attempt to assess the risks associated with indoor air pollution in the context of adverse domestic cooking environmental conditions in rural women of central India.

Results: Robust multivariate analyses which adjusted for height, illiteracy, physical activity, environmental exposure to tobacco smoke (ETS), mud house, overcrowding, inadequate ventilation and respiratory morbidity revealed that illiteracy (OR 2.48, 95 % CI 1.04 5.87); physical activity (OR 3.93, 95 % CI 1.52 10.14); inadequate cross ventilation (OR 2.43, 95 % CI 1.23-4.77) and respiratory morbidity (OR 2.65, 95 % CI 1.38-5.08) were significant predictors of low PEFR for group C (P<0.05); whereas none of the predictors were found to be significantly associated with group B.

Conclusions: Since women using partial biomass fuels showed no association of low PEFR with domestic cooking environment and respiratory morbidity even after robustly adjusting for confounding variables, we can conclude that even partial abolition of biomass use may be beneficial in improving the lung function of rural, non smoking women in spite of having inadequate domestic cooking environment.