Burns In India Research Articles

A mixed-methods community-based participatory research to explore stakeholder\u2019s perspectives and to quantify the effect of crop residue burning on air and human health in Central India: study protocol

BackgroundCrop residue burning adversely affects air quality and consequently human health. India, being one of the largest agro-economies of the world, produces around 500 Million tonnes of crop residue annually most of which is burnt on-farm. However, integrated studies that simultaneously quantify the effects of crop residue burning while exploring the subjective determinants of the practice are lacking in India. This paper describes the protocol for a longitudinal mixed methods research study employing a community-based participatory approach to fill this gap.MethodsBoth quantitative and qualitative data will be collected in a rural setting of the central Indian province of Madhya Pradesh, over 1 year. A steering committee comprising of the research team and community representatives will be formed. The proportion of cultivable land burnt in one crop burning season will be estimated. The association between crop residue burning, level of ambient air pollutants, and pulmonary function of village residents will be determined. Focus groups, interviews, and participatory rural appraisal methods will be used to explore stakeholder perspectives about crop residue burning. Potential barriers and opportunities for substituting burning with an alternative crop residue management technique will be ascertained as the basis for future interventions. Ethics approval has been obtained from the Institutional Ethics Committee of the National Institute for Research in Environmental Health (No: NIREH/BPL/IEC/2019–20/1494, dt 06/01/2020).DiscussionThis manuscript describes the protocol for a novel community-based participatory study to investigate thoroughly the phenomenon of crop residue burning from the perspective of the agricultural community through their active collaboration. The lack of comprehensive evidence regarding the factors responsible for crop residue burning in India underlines the importance of implementing this study protocol to fill in this critical gap in knowledge. While acknowledging that findings of this study will be not generalizable to agricultural communities other than the one studied, it is expected that the study will generate baseline evidence that might be beneficial in developing and implementing an appropriate intervention strategy.

Biogas as an alternative to stubble burning in India

Crop residue management and curbing stubble burning is of global interest. For every tonne of rice harvested, approximately 1.4 tonnes of straw is left behind on the crops and a similar proportion applies for the other major crops as well. Direct on-farm burning remains the most common method in India to manage these huge volumes of crop residues. Generating biogas from the crop wastes could be an effective and environment friendly alternative. Biogas is a renewable source of energy, offers controlled waste management along with reducing greenhouse gases and harmful pollutants. The digested sludge when used as an organic fertiliser even completes a sustainable loop of recycling nutrients back into the soil. Crop residues due to their rich organic content have demonstrated excellent biogas potential. Most energy crops have shown methane yields of approximately 300 m3/t of organic matter. This gas could be used as a fuel or converted to electricity or even upgraded to bio-methane. To further optimise the process, different types of pre-treatment methods and co-digestion of the substrates have been identified. The current article aims at providing a perspective on the impact of stubble burning and replacing the practice by producing biogas instead, thus, providing information on the potential, limitations and methods for optimising methane generation from the crop residues.

Validation of Indian Adaptation of Burn Outcomes Questionnaire-Hindi Version (I-BOQ-HV) for Pediatric Subgroup 5 to 18 Years.

The American Burn Association/Shriners Hospitals for Children Burn Outcomes Questionnaire (BOQ) is burn-specific quality of life assessment questionnaire for children. In this study, we modified the questionnaire to suit the Indian population and also translated it to Hindi. Three questions were modified according to its Indian context. One new question was added to the "Transfers and mobility" domain; a new domain "Economic impact" with two questions was added to study the economic impact on families. Twenty-five patients of age 5 to 18 years were included in the study. The Indian adaptation of Burn Outcome Questionnaire-Hindi Version 5 to 18 years (I-BOQ-HV 5-18 years) was found to be feasible in the Indian population. The internal consistency of the modified scale was good with all except one domain with Cronbach's alpha greater than 0.7. Test-retest reliability was done with intraclass correlation which was good, with values of greater than 0.7 for all domains. Pearson's correlation coefficient showed good discriminant validity between the domains. Factor analysis using principle component analysis with orthogonal rotation resulted in 10 of the 12 components with good factor loadings. The I-BOQ-HV 5 to 18 years has been shown to reliably predict quality of life of children with burns in India.

Biochar production: A sustainable solution for crop residue burning and related environmental issues

AbstractThe crop residue burning poses a threat to the environment and human health due to the emission of toxic gasses and particulate matter. This study examines the possibility of biochar production from corp residue and its utilization as a soil fertility enhancer and alternative fuel as a sustainable solution. The estimations of the total biochar production from major crop residues produced (wheat, rice, sugarcane, and maize) in India and the evaluation of its impact on CO2 sequestration potential, nutrient sequestration, and improvement in crop yield were made with the available data. The estimations indicate that the biochars produced from crop residue could have high carbon (45–83%), nutrients (N: 0.3–3.2 g/kg%, P: 0.1–7.99 g/kg and K: 2.64–224 g/kg), cation exchange capacity (10.9–97.3cmol/kg), water holding capacity (41–561%) with high heat value (15–28 MJ/kg). On applying crop residue derived biochar in soil, the revenue can be generated through CO2 sequestration ($0.29–3.63 million per year) and enhancement in crop productivity (0.02–0.94 million $/ha/year). The study advises that the production of biochar from crop residue could be beneficial not only for the environment but also for the farmers. Technological developments for biochar production at farmer levels are needed to discontinue the crop residue burning in India.

Indian agriculture, air pollution, and public health in the age of COVID.

Emerging evidence supports the intuitive link between chronic health conditions associated with air pollution and the vulnerability of individuals and communities to COVID-19. Poor air quality already imposes a highly significant public health burden in Northwest India, with pollution levels spiking to hazardous levels in November and early December when rice crop residues are burned. The urgency of curtailing the COVID-19 pandemic and mitigating a potential resurgence later in the year provides even more justification for accelerating efforts to dramatically reduce open agricultural burning in India.

Field Performance and Economic Feasibility of Self-Propelled Vertical Conveyor Reaper (VCR) for Harvesting of Rice in West Sikkim and A Technological Strategy for Mitigation of Air Pollution through Crop Residue Burning in India

Field Performance and Economic Feasibility of Self-Propelled Vertical Conveyor Reaper (VCR) for Harvesting of Rice in West Sikkim and A Technological Strategy for Mitigation of Air Pollution through Crop Residue Burning in India

RRI’s Commitment to Care and Vulnerability of Agrarian Systems: The ‘Problem’ of Rice Straw Burning in India

This paper employs RRI’s mandate of ‘commitment to care’ to understand the ‘problem’ of rice straw burning in India and the possible ways of engaging with it. Straw burning is often framed as a linear technology or policy deficit ‘problem’ in need of an immediate and quick fix. Interventions and solutions emerging from such framings have so far remained ineffective. The ‘commitment to care’ approach enables us to situate the current practices of straw burning in a complex web of relationalities, dependencies, vulnerabilities, and affect. By doing so, the ‘problem’ of straw burning is rearticulated and redefined as a cumulative effect of multiple interventions, transformations, and contradictions that led to the shaping of modern agricultural systems in India. This re-articulation demands for a rethinking of engagement, remedies and responsibilities in ways that move beyond the individualization of blame and action.

Corrigendum to: Risk of acute respiratory infection from crop burning in India: estimating disease burden and economic welfare from satellite and national health survey data for 250 000 persons.

BACKGROUND Respiratory infections are among the leading causes of death and disability globally. Respirable aerosol particles released by agricultural crop-residue burning (ACRB), practised by farmers in all global regions, are potentially harmful to human health. Our objective was to estimate the health and economic costs of ACRB in northern India. METHODS The primary outcome was acute respiratory infection (ARI) from India's fourth District Level Health Survey (DLHS-4). DLHS-4 data were merged with Moderate-Resolution Imaging Spectroradiometer satellite data on fire occurrence. Mutually adjusted generalized linear models were used to generate risk ratios for risk factors of ARI. Overall disease burden due to ACRB was estimated in terms of disability-adjusted life years. RESULTS Seeking medical treatment for ARI in the previous 2 weeks was reported by 5050 (2%) of 252 539 persons. Living in a district with intense ACRB-the top quintile of fires per day-was associated with a 3-fold higher risk of ARI (mutually adjusted risk ratio 2.99, 95% confidence interval 2.77 to 3.23) after adjustment for socio-demographic and household factors. Children under 5 years of age were particularly susceptible (3.65, 3.06 to 4.34 in this subgroup). Additional ARI risk factors included motor-vehicle congestion (1.96, 1.72 to 2.23), open drainage (1.91, 1.73 to 2.11), cooking with biomass (1.73, 1.58 to 1.90) and living in urban areas (1.35, 1.26 to 1.44). Eliminating ACRB would avert 14.9 million disability-adjusted life years lost per year, valued at US$152.9 billion over 5 years. CONCLUSIONS Investments to stop crop burning and offer farmers alternative crop-residue disposal solutions are likely to improve population-level respiratory health and yield major economic returns.

Soil Recarbonization Potential of Crop Residues and their Management through Inter-Convertible Carbon Triangle (ICCtriangle)

Intensive cropping is a major cause of depleting soil organic carbon (SOC) eventually leading to soil infertility. Restoration of depleted SOC requires renewable sources of organic amendments. Crop residue (CR), mostly lost due to burning in many parts of the world, is a generously available renewable source of organic carbon (OC) that can be used for soil recarbonization. The study presents an overview of the OC losses and pollution due to residue burning in India and explores the perspective of using surplus CR to restore SOC and promote ecosystem services for sustainable agriculture. We reviewed and quantified the magnitude of CR generated, and its fertilization potential in the Indo-Gangetic Region (IGR), an intensively cultivated region of India where rice straw burning is prevalent. A novel concept of interconvertible carbon triangle (ΔICC) is proposed based on the three carbon pools, SOC from the soil, CO2,/CO from the atmosphere and organic carbon (OC) from plant biomass to assess the instability of an agricultural land and estimate the SOC requirements based on the crop production data. The study reviews the availability of OC and other nutrients in CR and professes the need of technologies to divert the surplus CR to improving soil fertility and mitigate environmental pollution due to agricultural burnings.

Fields on fire: Alternatives to crop residue burning in India.

Farmer profit can be increased and air quality improved

Sustainable alternatives to carbon intensive paddy field burning in India: A framework for cleaner production in agriculture, energy, and construction industries

Abstract Field burning of rice straw as a method of disposal by farmers is a major concern as the smoke and harmful emissions from it causes dangerous levels of pollution. Seven out of ten cities with the poorest air quality in the world are in India, and paddy field burning has been cited as one of the main reasons. Hazardous emissions from paddy field burning is combined with greenhouse gas emissions from coal fired power plants and cement manufacturing units, causing severe respiratory illnesses and other fatal health issues. The recent literature indicates an increased interest in rice straw valorisation, possibly in response to the increasing concerns over paddy field burning. However, a systematic study that compiles and compares various rice straw valorisation routes is lacking in the existing literature. This paper provides a comprehensive review of literature on various alternative uses of rice straw in energy and construction industries. Effective use of rice straw as a biomass fuel in energy sector not only reduces the field burning, but also decreases the dependency on non-renewable fossil fuels. Moreover, the proposed utilisation of secondary by-products from rice straw-based energy production in the construction industry can help to attain the goals of resource cascading. The availability of rice straw in major rice producing states of India and the feasibility of establishing rice straw-based power plants are also examined in this study. The potential reduction of harmful emissions from such resource recycling has been determined as per the guidelines issued by the intergovernmental panel on climate change. From the review of literature and the findings of the present study, a sustainable framework has been developed with well-defined cleaner production pathways to create a seamless material flow chain between the agricultural, energy, and construction sectors.

Gridded Emissions of CO, NO x, SO2, CO2, NH3, HCl, CH4, PM2.5, PM10, BC, and NMVOC from Open Municipal Waste Burning in India.

Accurate emission inventories serve as critical inputs for air quality and climate models but are poorly constrained over India. We present a new municipal open waste burning emission inventory from India (OWBEII), at a resolution of 0.1° × 0.1°. Out of the 216 (201-232) Tg y-1 of waste produced in the year 2015, 68 (45-105) Tg y-1 was burned in the open. To determine emissions from waste burning, emission factors of 59 non-methane volatile organic compounds (NMVOCs), CH4, CO2, CO, and NO x were measured from garbage fires in rural and urban sites in India. The NMVOC emissions from open waste burning of 1.4-2 Tg y-1 increase India's total anthropogenic NMVOC budget by 8-12%, while BC emissions (40-110 Ggy-1) increase the total anthropogenic BC emissions by 8-12%. Open waste burning in India emits 3-7 Tg y-1 of CO and 58-130 Tg y-1 of CO2. Emissions increase the total anthropogenic CO and CO2 in the MIX-Asia inventory by 4-11% and 2-6%, respectively. Open waste burning may affect atmospheric OH reactivity and ozone formation rates downwind of urban centers through the emission of other highly reactive compounds such as acetaldehyde (20-320 Gg y-1), propene (50-170 Gg y-1), and ethene (50-190 Gg y-1) and is s source of carcinogenic benzene (30-280 Gg y-1).

Crop Residue Burning in India: Policy Challenges and Potential Solutions.

India, the second largest agro-based economy with year-round crop cultivation, generates a large amount of agricultural waste, including crop residues. In the absence of adequate sustainable management practices, approximately 92 seems a very small number of metric tons of crop waste is burned every year in India, causing excessive particulate matter emissions and air pollution. Crop residue burning has become a major environmental problem causing health issues as well as contributing to global warming. Composting, biochar production and mechanization are a few effective sustainable techniques that can help to curtail the issue while retaining the nutrients present in the crop residue in the soil. The government of India has attempted to curtail this problem, through numerous measures and campaigns designed to promote sustainable management methods such as converting crop residue into energy. However, the alarming rise of air pollution levels caused by crop residue burning in the city of Delhi and other northern areas in India observed in recent years, especially in and after the year of 2015, suggest that the issues is not yet under control. The solution to crop residue burning lies in the effective implementation of sustainable management practices with Government interventions and policies. This manuscript addresses the underlying technical as well as policy issues that has prevented India from achieving a long-lasting solution and also potential solutions that have been overlooked. However, effective implementation of these techniques also requires us to look at other socioeconomic aspects that had not been considered. This manuscript also discusses some of the policy considerations and functionality based on the analyses and current practices. The agricultural waste sector can benefit immensely from some of the examples from other waste sectors such as the municipal solid waste (MSW) and wastewater management where collection, segregation, recycling and disposal are institutionalized to secure an operational system. Active stakeholder involvement including education and empowerment of farmers along with technical solutions and product manufacturing can also assist tremendously. Even though the issue of crop residue burning touches many sectors, such as environment, agriculture, economy, social aspects, education, and energy, the past governmental efforts mainly revolved around agriculture and energy. This sectorial thinking is another barrier that needs to be broken. The government of India as well as governments of other developing countries can benefit from the emerging concept of nexus thinking in managing environmental resources. Nexus thinking promotes a higher-level integration and higher level of stakeholder involvement that goes beyond the disciplinary boundaries, providing a supporting platform to solve issues such as crop residue burning.

Risk of acute respiratory infection from crop burning in India: estimating disease burden and economic welfare from satellite and national health survey data for 250 000 persons.

BackgroundRespiratory infections are among the leading causes of death and disability globally. Respirable aerosol particles released by agricultural crop-residue burning (ACRB), practised by farmers in all global regions, are potentially harmful to human health. Our objective was to estimate the health and economic costs of ACRB in northern India.MethodsThe primary outcome was acute respiratory infection (ARI) from India’s fourth District Level Health Survey (DLHS-4). DLHS-4 data were merged with Moderate-Resolution Imaging Spectroradiometer satellite data on fire occurrence. Mutually adjusted generalized linear models were used to generate risk ratios for risk factors of ARI. Overall disease burden due to ACRB was estimated in terms of disability-adjusted life years.ResultsSeeking medical treatment for ARI in the previous 2 weeks was reported by 5050 (2%) of 252 539 persons. Living in a district with intense ACRB—the top quintile of fires per day—was associated with a 3-fold higher risk of ARI (mutually adjusted risk ratio 2.99, 95% confidence interval 2.77 to 3.23) after adjustment for socio-demographic and household factors. Children under 5 years of age were particularly susceptible (3.65, 3.06 to 4.34 in this subgroup). Additional ARI risk factors included motor-vehicle congestion (1.96, 1.72 to 2.23), open drainage (1.91, 1.73 to 2.11), cooking with biomass (1.73, 1.58 to 1.90) and living in urban areas (1.35, 1.26 to 1.44). Eliminating ACRB would avert 14.9 million disability-adjusted life years lost per year, valued at US$152.9 billion over 5 years.ConclusionsInvestments to stop crop burning and offer farmers alternative crop-residue disposal solutions are likely to improve population-level respiratory health and yield major economic returns.

Timely access to care for patients with critical burns in India: a prehospital prospective observational study

BackgroundLow/middle-income countries carry a disproportionate burden of the morbidity and mortality from thermal burns. Nearly 70% of burn deaths worldwide are from thermal burns in India. Delays to medical care...

Effect of Music Therapy on Pain Perception, Anxiety, and Opioid Use During Dressing Change Among Patients With Burns in India: A Quasi-experimental, Cross-over Pilot Study

This study was conducted to assess the effect of music therapy on pain, anxiety, opioid use, and hemodynamic variables during burn dressing change. Patients in a tertiary care burn unit who were >10 years old, conscious, able to respond, and oriented to time, place, and person participated in a 2-month, quasi-experimental, cross-over pilot study. Each served as his/her own control. Dressings were changed every other day alternating between the control (standard pain management) and experimental (control plus patient-selected music) intervention. Pain was assessed using a numerical rating scale, anxiety was scored using the State Trait Anxiety Test (higher scores indicated more pain and anxiety), and hemodynamic parameters and analgesics were recorded. Wilcoxon Test and chi-squared tests were utilized for statistical analysis. Median pain scores (5, interquartile range [IQR] IQR: 3-7; and 6, IQR: 5-8) and median anxiety scores (12, IQR: 8-17; and 14, IQR: 10-19) were significantly lower during the experimental than during the standard dressing change, respectively (P <.001), and opioids were used significantly less frequently during the experimental change (P = .002). Music therapy helps reduce anxiety, pain, and opioid use during burn dressing change.

Emissions of air pollutants from primary crop residue burning in India and their mitigation strategies for cleaner emissions

Population growth will lead to an increase in food demand, which will exert pressure on crop production and likely increase the agricultural crop residue. The present study estimates atmospheric emissions of various pollutants from crop residue burning using the Intergovernmental Panel on Climate Change guidelines. In India 488 Mt of total crop residue was generated during 2017, and about 24% of it was burnt in agricultural fields. This resulted in emissions of 824 Gg of Particulate Matter (PM2.5), 58 Gg of Elemental Carbon (EC) and 239 Gg of Organic Carbon (OC). Additionally, 211 Tg of CO2 equivalent greenhouse gases (CO2, CH4, N2O) were also added to the atmosphere. However, crop residue can also be used for energy production in biomass power plants and has the potential of 120 TWh of electricity generation. This accounts for 10% of the total energy production of India. Trend analysis in a Business As Usual (BAU) model shows that crop residue burning emissions will increase by 45% in 2050 having 2017 as the base year. The study also examines the various sustainable approaches and proposes an integrated crop residue management model to minimize the adverse impact of agricultural waste burning on human health and the environment.

Emission estimation of aromatic and halogenated VOCs from household solid fuel burning practices

This study describes the emission factors (EFs) of 16 volatile organic compounds (VOCs) for the combustion of commonly used household solid fuels including coal balls (CB), fuelwood (FW), dung cakes (DC), crop residues (CR), and mixed fuels (MF: DC + FW), collected from ten states of India. Sum of 16 VOCs EF (g kg−1) have shown highest level (50.0 ± 22.7 g kg−1) for CB, followed by CR (23.71 ± 10.64 g kg−1), DC (19.08 ± 3.29 g kg−1), MF (15.77 ± 9.49 g kg−1), and FW (12.79 ± 5.69 g kg−1). These findings are multifold higher than those reported for biomass burning in test chamber studies. Benzene and dichloromethane EFs were found to be dominating among the aromatic and halogenated VOCs, respectively. Annual TVOCs emission estimates were evaluated to be 12.58 ± 5.92 Gg year−1 from household solid fuel burning practices. It was the 1/6th of TVOCs emission estimates (73 Gg year−1) from biomass burning in India during 2009.

Biochar production and applications in soil fertility and carbon sequestration – a sustainable solution to crop-residue burning in India

A sustainable solution to crop residues burning by converting residues into biochars is provided.

The conundrum of deep vein thrombosis prophylaxis in burns in India and review of literature.

Objective:The aim is to assess the practice of deep vein thrombosis (DVT) prophylaxis among the plastic surgeons attending National Academy of Burns India Conference 2012 (NABICON 2012).Background:DVT prophylaxis in burns is a controversial issue as there is no consensus among the community of burn surgeons about the prevalence of DVT, the incidence of pulmonary embolism, the indications for DVT prophylaxis, dosage and duration of low molecular weight heparins (LMWH) and the complications related to DVT and LMWH.Methodology:A survey was conducted among plastic surgeons attending the NABICON 2012 held at New Delhi, by circulating a questionnaire. The respondents were divided into two groups based on whether burns constituted more than or less than 50% of their practice. The data thus collected were tabulated and analysed.Results:Almost 70% of all the respondents practice some form of DVT prophylaxis. There was significantly higher incidence of complications related to the use of LMWH among the surgeons whose practice of burns was >50%. There was no significant difference between the two groups in relation to the incidence and complication of DVT or recommendation of DVT prophylaxis.Conclusion:Majority of plastic surgeons practice DVT prophylaxis routinely and consider multiple criteria such as percentage of burns, age, lower limb involvement, the degree of burns and associated co-morbidities for starting the LMWH.