1921
Volume 88, Issue 1
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645

Abstract

Abstract.

Household air pollution is a risk factor for pneumonia, the leading cause of death among children < 5 years of age. From 2008 to 2010, a Kenyan organization sold ∼2,500 ceramic cookstoves () that produce less visible household smoke than 3-stone firepits. During a year-long observational study, we made 25 biweekly visits to 200 homes to determine stove use and observe signs of acute respiratory infection in children < 3 years of age. Reported stove use included 3-stone firepit only (81.8%), only (15.7%), and both (2.3%). Lower, but not statistically significant, percentages of children in -using households than 3-stone firepit-using households had observed cough (1.3% versus 2.9%, rate ratio [RR] 0.48, 95% confidence interval [CI]: 0.22–1.03), pneumonia (0.9% versus 1.7%, RR 0.60, 95% CI: 0.24–1.48), and severe pneumonia (0.3% versus 0.6%, RR 0.66, 95% CI: 0.17–2.62). use did not result in significantly lower pneumonia rates. Further research on the health impact of improved cookstoves is warranted.

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References

  1. Black RE, Cousens S, Johnson HL, Lawn JE, Rudan I, Bassani DG, Jha P, Campbell H, Walker CF, Cibulskis R, Eisele T, Liu L, Mathers C, , 2010. Global, regional, and national causes of child mortality in 2008: a systematic analysis. Lancet 375: 19691987.[Crossref] [Google Scholar]
  2. Rudan I, Boschi-Pinto C, Biloglav Z, Mulholland K, Campbell H, , 2008. Epidemiology and etiology of childhood pneumonia. Bull World Health Organ 86: 408416.[Crossref] [Google Scholar]
  3. Rehfuess E, Mehta S, Prüss-Üstün A, , 2006. Assessing household solid fuel use: multiple implications for the Millennium Development Goals. Environ Health Perspect 114: 373.[Crossref] [Google Scholar]
  4. Naeher LP, Leaderer BP, Smith KR, , 2000. Particulate matter and carbon monoxide in highland Guatemala: indoor and outdoor levels from traditional and improved wood stoves and gas stoves. Indoor Air 10: 200205.[Crossref] [Google Scholar]
  5. 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] [Google Scholar]
  6. Smith KR, Mehta S, Maeusezahl-Feuz M, Ezzati M, Lopez AD, Rodgers A, Murray CJL, , 2004. Indoor air pollution from household use of solid fuels. , editors. Comparative Quantification of Health Risks: Global and Regional Burden of Disease Attributable to Selected Major Risk Factors. Geneva: WHO, 14351493. [Google Scholar]
  7. Cordes L, , 2011. Igniting Change: A Strategy for Universal Adoption of Clean Cookstoves and Fuels. Washington, DC: Global Alliance for Clean Cookstoves. Available at: http://www.cleancookstoves.org/resources/fact-sheets/igniting-change.pdf. Accessed May 14, 2012. [Google Scholar]
  8. 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] [Google Scholar]
  9. Silk BJ, Ochieng C, Patel MK, Sadumah I, Person B, Were V, Harris J, Otieno R, Nygren B, Loo J, , 2012. A strategy to increase adoption of improved cookstoves in rural Kenyan households. BMC Public Health 12: 359.[Crossref] [Google Scholar]
  10. Person B, Loo JD, Owuor M, Ogange L, Jefferds MED, Cohen AL, , 2012. “It is good for my family's health and cooks food in a way that my heart loves”: qualitative findings and implications for scaling up an improved cookstove project in rural Kenya. Int J Environ Res Public Health 9: 15661580.[Crossref] [Google Scholar]
  11. Kenya National Bureau of Statistics, 2010. Kenya Demographic and Health Survey 2008–09. Calverton, MD: ICF Macro. [Google Scholar]
  12. Adazu K, Lindblade KA, Rosen DH, Odhiambo F, Ofware P, Kwach J, Van Eijk AM, Decock KM, Amornkul P, Karanja D, Vulule JM, Slutsker L, , 2005. Health and demographic surveillance in rural western Kenya: a platform for evaluating interventions to reduce morbidity and mortality from infectious diseases. Am J Trop Med Hyg 73: 11511158. [Google Scholar]
  13. CDC, 2007. Baseline data from the Nyando Integrated Child Health and Education Project—Kenya, 2007. MMWR Morb Mortal Wkly Rep 56: 11091113. [Google Scholar]
  14. Perkins BA, Zucker JR, Otieno J, Jafari HS, Paxton L, Redd SC, Nahlen BL, Schwartz B, Oloo AJ, Olango C, Gove S, Campbell CC, , 1997. Evaluation of an algorithm for integrated management of childhood illness in an area of Kenya with high malaria transmission. Bull World Health Organ 75 (Suppl 1): 3342. [Google Scholar]
  15. Gove S, , 1997. Integrated management of childhood illness by outpatient health workers: technical basis and overview. The WHO Working Group on Guidelines for Integrated Management of the Sick Child. Bull World Health Organ 75 (Suppl 1): 724. [Google Scholar]
  16. Northcross A, Chowdhury Z, McCracken J, Canuz E, Smith KR, , 2010. Estimating personal PM2.5 exposures using CO measurements in Guatemalan households cooking with wood fuel. JEM 12: 873878. [Google Scholar]
  17. WHO, 2006. WHO Air Quality Guidelines for Particulate Matter, Ozone, Nitrogen Dioxide and Sulfur Dioxide: Global Assessment 2005: Summary of Risk Assessment. Geneva: WHO. [Google Scholar]
  18. Naeher LP, Brauer M, Lipsett M, Zelikoff JT, Simpson CD, Koenig JQ, Smith KR, , 2007. Wood smoke health effects: a review. Inhal Toxicol 19: 67106.[Crossref] [Google Scholar]
  19. Robinson BE, Baumgartner J, , 2011. Cultivating a demand for clean cookstoves. Science 334: 16361637; author reply 1637.[Crossref] [Google Scholar]
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  • Received : 14 Aug 2012
  • Accepted : 04 Oct 2012

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