1921
Volume 90, Issue 5
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645

Abstract

Abstract.

To inform interventions to reduce the high burden of pneumonia in urban settings such as Kamalapur, Bangladesh, we evaluated household air quality risk factors for radiographically confirmed pneumonia in children. In 2009–2010, we recruited children < 5 years of age with pneumonia and controls from a population-based surveillance for respiratory and febrile illnesses. Piped natural gas was used by 85% of 331 case and 91% of 663 control households. Crowding, a tin roof in the living space, low socioeconomic status, and male sex of the child were risk factors for pneumonia. The living space in case households was 28% less likely than in control households to be cross-ventilated. Particulate matter concentrations were not significantly associated with pneumonia. With increasing urbanization and supply of improved cooking fuels to urban areas, the high burden of respiratory illnesses in urban populations such as Kamalapur may be reduced by decreasing crowding and improving ventilation in living spaces.

Loading

Article metrics loading...

/content/journals/10.4269/ajtmh.13-0532
2014-05-07
2017-11-24
Loading full text...

Full text loading...

/deliver/fulltext/14761645/90/5/968.html?itemId=/content/journals/10.4269/ajtmh.13-0532&mimeType=html&fmt=ahah

References

  1. Liu L, Johnson HL, Cousens S, Perin J, Scott S, Lawn JE, Rudan I, Campbell H, Cibulskis R, Li M, Mathers C, Black RE, Child Health Epidemiology Reference Group of WHO Unicef, , , 2012. Global, regional, and national causes of child mortality: an updated systematic analysis for 2010 with time trends since 2000. Lancet 379: 21512161.[Crossref]
  2. Smith KR, McCracken JP, Weber MW, Hubbard A, Jenny A, Thompson LM, Balmes J, Diaz A, Arana B, Bruce N, , 2011. Effect of reduction in household air pollution on childhood pneumonia in Guatemala (RESPIRE): a randomized controlled trial. Lancet 378: 17171726.[Crossref]
  3. Dherani M, Pope D, Mascarenhas M, Smith KR, Weber M, Bruce N, , 2008. Indoor air pollution from unprocessed solid fuel use and pneumonia risk in children aged under five years: a systematic review and meta-analysis. Bull World Health Organ 86: 390398C.[Crossref]
  4. WHO, 2012. WHO Household Energy Database. Available at: http://www.who.int/indoorair/health_impacts/he_database/en/. Accessed September 17, 2012.
  5. Murray EL, Brondi L, Kleinbaum D, McGowan JE, Van Mels C, Brooks WA, Goswami D, Ryan PB, Klein M, Bridges CB, , 2012. Cooking fuel type, household ventilation, and the risk of acute lower respiratory illness in urban Bangladeshi children: a longitudinal study. Indoor Air 22: 132139.[Crossref]
  6. Brooks WA, Goswami D, Rahman M, Nahar K, Fry AM, Balish A, Iftekharuddin N, Azim T, Xu X, Klimov A, Bresee J, Bridges C, Luby S, , 2010. Influenza is a major contributor to childhood pneumonia in a tropical developing country. Pediatr Infect Dis J 29: 216221.[Crossref]
  7. Emmelin A, Wall S, , 2007. Indoor air pollution: a poverty-related cause of mortality among the children of the world. Chest 132: 16151623.[Crossref]
  8. Brooks WA, Breiman RF, Goswami D, Hossain A, Alam K, Saha SK, Nahar K, Nasrin D, Ahmed N, El Arifeen S, Naheed A, Sack DA, Luby S, , 2007. Invasive pneumococcal disease burden and implications for vaccine policy in urban Bangladesh. Am J Trop Med Hyg 77: 795801.
  9. Brooks WA, Santosham M, Naheed A, Goswami D, Wahed MA, Diener-West M, Faruque AS, Black RE, , 2005. Effect of weekly zinc supplements on incidence of pneumonia and diarrhoea in children younger than 2 years in an urban, low-income population in Bangladesh: randomized controlled trial. Lancet 366: 9991004.[Crossref]
  10. Chowdhury Z, Edwards RD, Johnson M, Naumoff Shields K, Allen T, Canuz E, Smith KR, , 2007. An inexpensive light-scattering particle monitor: field validation. J Environ Monit 9: 10991106.[Crossref]
  11. Edwards R, Smith KR, Kirby B, Allen T, Litton CD, Hering S, , 2006. An inexpensive dual-chamber particle monitor: laboratory characterization. J Air Waste Manag Assoc 56: 789799.[Crossref]
  12. Anonymous, 2009. UCB Particle Monitor User Manual: Version 6.5 (April 2009). Berkeley, CA: Berkeley Air Monitoring Group and Indoor Air Pollution Team, School of Public Health, University of California.
  13. Anonymous, 2005. Installing IAP Instruments in a Home. Berkeley, CA: Indoor Air Pollution Team, Center for Entrepreneurship in International Health and Development (CEIHD), School of Public Health, University of California-Berkeley.
  14. WHO, 2005. WHO Air Quality Guidelines for Particulate Matter, Ozone, Nitrogen Dioxide, and Sulfur Dioxide. Geneva: World Health Organization.
  15. Vyas S, Kumaranayake L, , 2006. Constructing socio-economic status indices: how to use principal components analysis. Health Policy Plan 21: 459468.[Crossref]
  16. Cardoso MR, Cousens SN, de Goes Siqueira LF, Alves FM, D'Angelo LA, , 2004. Crowding: risk factor or protective factor for lower respiratory disease in young children? BMC Public Health 4: 19.[Crossref]
  17. Okiro EA, Ngama M, Bett A, Cane PA, Medley GF, James Nokes D, , 2008. Factors associated with increased risk of progression to respiratory syncytial virus-associated pneumonia in young Kenyan children. Trop Med Int Health 13: 914926.[Crossref]
  18. Gordon A, Ortega O, Kuan G, Reingold A, Saborio S, Balmaseda A, Harris E, , 2009. Prevalence and seasonality of influenza-like illness in children, Nicaragua, 2005–2007. Emerg Infect Dis 15: 408414.[Crossref]
  19. Sung RY, Ling JM, Fung SM, Oppenheimer SJ, Crook DW, Lau JT, Cheng AF, , 1995. Carriage of Haemophilus influenzae and Streptococcus pneumoniae in healthy Chinese and Vietnamese children in Hong Kong. Acta Paediatr 84: 12621267.[Crossref]
  20. Hoge CW, Reichler MR, Dominguez EA, Bremer JC, Mastro TD, Hendricks KA, Musher DM, Elliott JA, Facklam RR, Breiman RF, , 1994. An epidemic of pneumococcal disease in an overcrowded, inadequately ventilated jail. N Engl J Med 331: 643648.[Crossref]
  21. Sacks JD, Stanek LW, Luben TJ, Johns DO, Buckley BJ, Brown JS, Ross M, , 2011. Particulate matter-induced health effects: who is susceptible? Environ Health Perspect 119: 446454.[Crossref]
  22. Walther BA, Ewald PW, , 2004. Pathogen survival in the external environment and the evolution of virulence. Biol Rev Camb Philos Soc 79: 849869.[Crossref]
  23. Li Y, Leung GM, Tang JW, Yang X, Chao CY, Lin JZ, Lu JW, Nielsen PV, Niu J, Qian H, Sleigh AC, Su HJ, Sundell J, Wong TW, Yuen PL, , 2007. Role of ventilation in airborne transmission of infectious agents in the built environment: a multidisciplinary systematic review. Indoor Air 17: 218.[Crossref]
  24. Dasgupta S, Huq M, Khaliquzzaman M, Pandey K, Wheeler D, , 2006. Indoor air quality for poor families: new evidence from Bangladesh. Indoor Air 16: 426444.[Crossref]
  25. Gurley ES, Salje H, Homaira N, Ram PK, Haque R, Petri WA, Jr. Bresee J, Moss WJ, Luby SP, Breysse P, Azziz-Baumgartner E, , 2012. Seasonal concentrations and determinants of indoor particulate matter in a low-income community in Dhaka, Bangladesh. Environ Res 121: 1116.[Crossref]
  26. Clark ML, Reynolds SJ, Burch JB, Conway S, Bachand AM, Peel JL, , 2010. Indoor air pollution, cookstove quality, and housing characteristics in two Honduran communities. Environ Res 110: 1218.[Crossref]
  27. Weaver A, Parveen S, Goswami D, Crabtree-Ide C, Rudra C, Yu J, Fry A, Sharmin I, Brooks WA, Luby SP, Ram PK, , 2012. Pilot intervention study of household ventilation and fine particulate matter concentration in a low-income urban area, Dhaka, Bangladesh. ASTMH 61st Annual Meeting. November 11–15, 2012, Atlanta, GA.
  28. Abadie M, Limam K, Allard F, , 2001. Indoor particle pollution: effect of wall textures on particle deposition. Build Environ 36: 821827.[Crossref]
  29. Lai AC, Nazaroff WW, , 2005. Supermicron particle deposition from turbulent chamber flow onto smooth and rough vertical surfaces. Atmos Environ 39: 48934900.[Crossref]
  30. Begum BA, Biswas SK, Nasiruddin M, , 2010. Trend and spatial distribution of air particulate matter pollution in Dhaka City. Journal of Bangladesh Academy of Sciences 34: 3348.
  31. Ristovski ZD, Miljevic B, Surawski NC, Morawska L, Fong KM, Goh F, Yang IA, , 2012. Respiratory health effects of diesel particulate matter. Respirology 17: 201212.[Crossref]
  32. Begum BA, Biswas SK, Markwitz A, Hopke PK, , 2010. Identification of sources of fine and coarse particulate matter in Dhaka, Bangladesh. Aerosol Air Qual Res 10: 345353.
  33. Ezzati M, Kammen D, , 2001. Indoor air pollution from biomass combustion and acute respiratory infections in Kenya: an exposure-response study. Lancet 358: 619624.[Crossref]
  34. Ezzati M, Kammen DM, , 2002. The health impacts of exposure to indoor air pollution from solid fuels in developing countries: knowledge, gaps, and data needs. Environ Health Perspect 110: 10571068.[Crossref]
http://instance.metastore.ingenta.com/content/journals/10.4269/ajtmh.13-0532
Loading
/content/journals/10.4269/ajtmh.13-0532
Loading

Data & Media loading...

  • Received : 16 Sep 2013
  • Accepted : 17 Dec 2013

Most Cited This Month

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error