Chimney Stoves Research Articles

Resolving emission factors and formation pathways of organic gaseous compounds from residential combustion of European brown coal

Residential combustion of brown coal can be an important source of ambient air pollution in areas with abundant brown coal deposits, such as Eastern Europe or China. The exhaust emission contents may vary regionally depending on the fuel composition, calling for detailed characterization of emissions from different coal types. In this work, the organic gaseous emissions of European brown coal combusted in a modern chimney stove -type residential appliance were measured by a proton transfer reaction time-of-flight mass spectrometer. Of three consecutive batches of brown coal briquettes, the first batch produced two-fold emission (144 ± 52 mg/MJ) of organic gaseous compounds (OGCs) compared to the later batches (71 ± 35 mg/MJ). The compositions between the batches were, however, relatively similar. Carbonyls accounted for 36 ± 3.0% of the identified emission factors, while aromatic hydrocarbons and oxygenated aromatic compounds contributed 19 ± 3.4% and 16 ± 1.8%, respectively. The complex and overlapping chemical processes within batch combustion were exposed by non-negative matrix factorization, giving insight into the temporal variation in the formation pathways of the OGCs. The OGCs were separated into five factors revealing the chemical fingerprints of the main processes leading to formation of, for example, substituted or single-ring aromatic hydrocarbons. Oxygenated aromatic compounds were related to a distinct factor, which was proposed to form specifically from decomposition of the lignin residues of the brown coal. OGCs from brown coal combustion were estimated to have notable secondary particle formation potential: in photochemical conditions, they may double the organic particulate emission, while reactions in dark conditions may lead to excessive nitrophenol formation.

Biomass smoke exposure and somatic growth among children: The RESPIRE and CRECER prospective cohort studies in rural Guatemala

BackgroundCooking-related biomass smoke is a major source of household air pollution (HAP) and an important health hazard. Prior studies identified associations between HAP exposure and childhood stunting; less is known for underweight and wasting. Few studies had personal HAP measurements. Methods557 households in rural Guatemala were enrolled in the CRECER study, the follow-up study of the RESPIRE randomized intervention trial. They were assigned to three groups that received chimney stoves at different ages of the study children. Multiple personal carbon monoxide (CO) exposure measurements were used as proxies for HAP exposures. Children’s heights and weights were measured from 24 to 60 months of age. Height-for-age z-score (HAZ), weight-for-age z-score (WAZ), and weight-for-height z-score (WHZ) were calculated based on the World Health Organization’s Multicentre Growth Reference Study. HAZ, WAZ, and WHZ below −2 were classified as stunting, underweight, and wasting, respectively. Generalized linear models and mixed effects models were applied. Results541 children had valid anthropometric data, among whom 488 (90.2 %) were stunted, 192 (35.5 %) were underweight, and 2 (0.3 %) were wasted. A 1 ppm higher average CO exposure was associated with a 0.21 lower HAZ (95 % CI: 0.17–0.25), a 0.13 lower WAZ (95 % CI: 0.10–0.17) and a 0.06 lower WHZ (95 % CI: 0.02–0.10).The associations for HAZ were stronger among boys (coefficient = −0.29, 95 % CI: −0.35 – −0.22) than among girls (coefficient = −0.15, 95 % CI: −0.20 – −0.10). A 1 ppm-year higher cumulative CO exposure was associated with a higher risk of moderate stunting among boys (OR = 1.27, 95 % CI: 1.05-1.59), but not among girls. DiscussionIn this rural Guatemalan population, higher HAP exposure was associated with lower HAZ and WAZ. The associations between HAP and HAZ/stunting were stronger among boys. Reducing HAP might benefit childhood somatic growth in rural populations of low-income countries.

Air Quality Modeling of Cooking Stove Emissions and Exposure Assessment in Rural Areas

Cooking stoves produce significant emissions of PM2.5 in homes, causing major health impacts in rural communities. The installation of chimneys in cooking stoves has been documented to substantially reduce indoor emissions compared to those of traditional open fires. Majority of the emissions pass through chimneys to the outdoors, while some fraction of the emissions leak directly into the indoor air, which is defined as fugitive emission. Indoor PM2.5 concentrations are then the result of such fugitive emissions and the infiltration of outdoor neighborhood pollutants. This study uses a combination of the one-contaminant box model and dispersion models to estimate the indoor PM2.5 household concentration. The results show that the contributions of outdoor infiltration to indoor PM2.5 concentrations increase with higher packing densities and ventilation rates. For a case study, under WHO recommended ventilation conditions, the 24 h average mass concentration is ~21 μg/m3, with fugitive concentration accounting for ~90% of the total exposure for highly packed communities. These results help to identify the potential benefits of intervention strategies in regions that use chimney stoves.

Assessing the Effects of Stove Use Patterns and Kitchen Chimneys on Indoor Air Quality during a Multiyear Cookstove Randomized Control Trial in Rural India.

We conducted indoor air quality (IAQ) measurements during a multiyear cookstove randomized control trial in two rural areas in northern and southern India. A total of 1205 days of kitchen PM2.5 were measured in control and intervention households during six ∼3 month long measurement periods across two study locations. Stoves used included traditional solid fuel (TSF), improved biomass, and liquefied petroleum gas (LPG) models. Intent-to-treat analysis indicates that the intervention reduced average 24 h PM2.5 and black carbon in only one of the two follow-up measurement periods in both areas, suggesting mixed effectiveness. Average PM2.5 levels were ∼50% lower in households with LPG (for exclusive LPG use: >75% lower) than in those without LPG. PM2.5 was 66% lower in households making exclusive use of an improved chimney stove versus a traditional chimney stove and TSF-exclusive kitchens with a built-in chimney had ∼60% lower PM2.5 than those without a chimney, indicating that kitchen ventilation can be as important as the stove technology in improving IAQ. Diurnal trends in real-time PM2.5 indicate that kitchen chimneys were especially effective at reducing peak concentrations, which leads to decreases in daily PM2.5 in these households. Our data demonstrate a clear hierarchy of IAQ improvement in real world, "stove-stacking" households, driven by different stove technologies and kitchen characteristics.

Improving Combustion Technology for Cooking Activities for Pollutant Emission Reduction and Carbon Neutrality

Inefficient residential solid fuel combustion contributes significantly to ambient and indoor air pollutants. It consumes large quantities of fuel and produces harmful effects on health. Improvements in residential biomass cooking stoves have great potential for energy savings and emission reduction. This study presents an advanced biomass gasifier cooking stove to overcome the disadvantages of high-pollutant emissions from widely used stoves in China. The most innovative features of the stove are (1) negative pressure produced by a jet fan located at the junction of the chimney, and (2) combustion and carbonization processes taking place in the same chamber. Compared with a traditional chimney stove, the advanced biomass gasifier cooking stove presented higher TE (thermal efficiency) and comprehensively lower pollutant emissions when raw crop straws, crop straw briquettes, and pellets were burned in it. Approximately 40% CO2 and 90% of PM2.5 (the aerodynamic diameter was less than or equal to 2.5 μm) EFs (emission factors) were eliminated, and TE drastically tripled. Furthermore, biomass briquette/pellet was identified as more suitable than raw biomass as a fuel to be burned in the new stove, especially because the raw biomass displayed an increase in the EFs of As, Se, and Pb when burned in the new stove. The advancement in biomass cooking stove technology is a practical approach to reducing the emissions of CO2, PM2.5, and other hazardous pollutants.

Substantial leakage into indoor air from on-site solid fuel combustion in chimney stoves

Exposure to household air pollution (HAP) from solid fuel use (SFU) causes millions of premature deaths globally. Direct leakage from stoves into indoor air is believed to be the main cause of severe HAP. However, previous laboratory-based measurements reported leakage of minimal fractions from wood fuel combustion. Using a newly developed measurement method, on-site measurements were conducted to quantitatively evaluate the leakage of gases and particulate matter from different fuel-stove combinations. The fraction of indoor leakage to the total emission (F) of the measured air pollutants varied from 23 ± 11% to 40 ± 16% for different pollutants and fuel-stove combinations, and these were significantly higher than previously lab-based results. Fuel differences overwhelmed stove differences in influencing F values, with higher values from biomass burning than from coal combustion. The particles had higher F values than gases. Fugitive emission rates (ERs) were log-normally distributed, and biomass burning had higher ERs than coal burning. Indoor PM2.5 (fine particulate matter) and CO (carbon monoxide) concentrations measured during the burning period increased by nearly 1–2 orders of magnitude compared to concentrations before or after burning, confirming substantially high indoor leakage from fuel combustion in cookstoves. High fugitive emissions in indoor cookstoves quantified from the present on-site measurements effectively explain the high HAP levels observed in rural SFU households, and call for interventions to improve indoor air quality.

Effectiveness of Gas and Chimney Biomass Stoves for Reducing Household Air Pollution Pregnancy Exposure in Guatemala: Sociodemographic Effect Modifiers.

Household air pollution (HAP) due to solid fuel use during pregnancy is associated with adverse birth outcomes. The real-life effectiveness of clean cooking interventions has been disappointing overall yet variable, but the sociodemographic determinants are not well described. We measured personal 24-h PM2.5 (particulate matter <2.5 µm in aerodynamic diameter) thrice in pregnant women (n = 218) gravimetrically with Teflon filter, impactor, and personal pump setups. To estimate the effectiveness of owning chimney and liquefied petroleum gas (LPG) stoves (i.e., proportion of PM2.5 exposure that would be prevented) and to predict subject-specific typical exposures, we used linear mixed-effects models with log (PM2.5) as dependent variable and random intercept for subject. Median (IQR) personal PM2.5 in µg/m3 was 148 (90–249) for open fire, 78 (51–125) for chimney stove, and 55 (34–79) for LPG stoves. Adjusted effectiveness of LPG stoves was greater in women with ≥6 years of education (49% (95% CI: 34, 60)) versus <6 years (26% (95% CI: 5, 42)). In contrast, chimney stove adjusted effectiveness was greater in women with <6 years of education (50% (95% CI: 38, 60)), rural residence (46% (95% CI: 34, 55)) and lowest SES (socio-economic status) quartile (59% (95% CI: 45, 70)) than ≥6 years education (16% (95% CI: 22, 43)), urban (23% (95% CI: −164, 42)) and highest SES quartile (−44% (95% CI: −183, 27)), respectively. A minority of LPG stove owners (12%) and no chimney owner had typical exposure below World Health Organization Air Quality guidelines (35 μg/m3). Although having a cleaner stove alone typically does not lower exposure enough to protect health, understanding sociodemographic determinants of effectiveness may lead to better targeting, implementation, and adoption of interventions.

Women's experiences with mixed use of wood and gas cookstoves and fuels in rural Lambayeque, Peru

Introduction: Despite program efforts to encourage use of clean cookstoves and fuels to mitigate climate change, many communities continue to use wood-fueled open fires. Objectives: Describe experiences of participants with mixed use of cooking and fuel technologies (e.g. open fires and chimney stoves using wood and liquefied petroleum gas (LPG) stoves) in rural Lambayeque, Peru in 2018. Material and methods: Fifteen participants were interviewed using a qualitative exploratory research design. Data was collected through semi-structured interviews and analyzed using thematic content analysis. Results: Four categories emerged: decisions about acquiring cooking fuels are primarily based on cost; plastic trash is used to light wood-burning stoves; decisions to use gas over wood are based on quick food cooking time; and benefits and health problems are recognized, but mixed use of fuels persist. Conclusion: Use of both traditional wood cookstoves and plastic trash to ignite fires were used frequently because both are free or cheap. The environmental impact of cutting down trees isn't considered important, but interviewees did notice detriments to their wellbeing. Although gas stoves are used and benefits were mentioned, use of traditional stoves persists. We recommend that policy makers in Peru begin to address barriers to full adoption of new clean cooking technologies and consider governmental subsidies to meet families' spending priorities.

In Memoriam: Kirk R. Smith.

In Memoriam: Kirk R. Smith.

Fugitive Emissions of CO and PM2.5 from Indoor Biomass Burning in Chimney Stoves Based on a Newly Developed Carbon Balance Approach

Fugitive emissions of smoke from stoves directly affect indoor air quality. However, this important process has been very scarcely evaluated so far. In this study, a novel approach has been develop...

Understanding Household Energy Transitions: From Evaluating Single Cookstoves to “Clean Stacking” Alternatives

The pervasiveness of “stacking” between traditional and clean fuels/stoves is moving the household clean cooking research and policy agenda from programs that are centered on one-fuel or stove, to multi-clean fuel/device interventions that could result in a more effective displacement of traditional biomass stoves. However, there is little recognition and knowledge of the benefits realistic clean-stacking cooking solutions can have on indoor air quality and health. In this paper, particulate matter (PM2.5) and carbon monoxide (CO) concentration levels that are associated with stove-stacking options (Patsari-U-shaped open fire (U-type), Patsari-liquefied petroleum gas (LPG) stove, U-type-LPG, and Patsari-U-type-LPG) common within rural Mexico were evaluated while using a controlled cooking cycle (CCC) from the Purepecha Highlands, which mimics the most common dishes prepared daily within the region as well as their sequential arrangement. The results confirms that the WHO Interim Target-1 (IT1) of 35 μg/m3 for PM2.5 is exceeded whenever woodburning open fires are part of the stacking combination (Patsari-U-type 107 ± 9 μg/m3, U-type-LPG 131 ± 55 μg/m3 and Patsari-U-type-LPG 107 ± 22 μg/m3). However, well-designed and properly operated woodburning chimney stoves, such as the Patsari can meet the IT1, either used exclusively (21 ± 8 μg/m3) or as a “clean stacking” option with LPG (24 ± 5 μg/m3). Given stove stacking patterns, evaluating the health and environmental consequences of stove transitions while assuming the total replacement of traditional fires by clean cooking options will lead to misplaced expectations, and programs should evaluate more realistic “clean-stacking” options.

Emission Measurements from Traditional Biomass Cookstoves in South Asia and Tibet.

Traditional biomass stoves are a major global contributor to emissions that impact climate change and health. This paper reports emission factors of particulate matter (PM2.5), carbon monoxide (CO), organic carbon (OC), black carbon (EC), optical absorption, and scattering from 46 South Asian, 48 Tibetan, and 4 Ugandan stoves. These measurements plus a literature review provide insight into the robustness of emission factors used in emission inventories. Tibetan dung stoves produced high average PM2.5 emission factors (23 and 43 gkg-1 for chimney and open stoves) with low average EC (0.3 and 0.7 gkg-1, respectively). Comparatively, PM2.5 from South Asian stoves (7 gkg-1) was in the range of previous measurements and near values used in inventories. EC emission factors varied between stoves and fuels ( p < 0.001), without corresponding differences in absorption; stoves that produced little EC, produced enough brown carbon to have about the same absorption as stoves with high EC emissions. In Tibetan dung stoves, for example, OC contributed over 20% of the absorption. Overall, EC emission factors were not correlated with PM2.5 and were constrained to low values, relative to PM2.5, over a wide range of combustion conditions. The average measured EC emission factor (1 gkg-1), was near current inventory estimates.

Disputed Words of Disputed Territories: Whose Is Kürtőskalács?

Abstract Kürtőskalács, or chimney cake, is a Hungarian bakery specialty, made from sweet, yeast dough. The Hungarian lexeme kürtőskalács has two etymological explanations, and it has a lot of synonyms. The disputes over the paternity of this product between Romanian authorities and Hungarians have made us consider the history and origin of the term, the evolution of the recipe, and other additional information regarding linguistic, cultural, and translational implications (we have identified the first attempts to translate the recipe of the dish into Romanian). The very first written recipe known today dates back to 1784, when Gazda Aszszonyi Böltseségnek Tárháza, Dániel Istvánné Gróf Mária Mikes’s cookery book was issued, although the word had been mentioned in much older documents. The name kürtőskalács has not penetrated the Romanian language yet, although attempts to translate its recipe can be spotted in the 19th century. The words used by Romanians are either transcriptions or borrowings, or adapted or coined variants (cozonac secuiesc, colac secuiesc) or even calques (the case of tulnic, which is used to echo the phonetic similarity of kürt (trumpet) and kürtő (chimney stove) in Hungarian, as tulnic means a kind of trumpet). Our research focuses on the history of this product, the history of the words related to it, taking into account one of the most interesting parts of gastronomic literature, i.e. the history of cookery books.

Effectiveness of Liquefied Petroleum Gas Stove Ownership for Reducing Household Air Pollution Exposure during Pregnancy in Guatemala

Background: Household air pollution from solid fuel use has been associated with adverse birth outcomes. Efforts to reduce exposure focused on chimney stoves have had limited success, and switching...

Fugitive Emissions and Health Implications of Plancha-Type Stoves.

Plancha-type stoves have been widely disseminated in Mexico and Central America, but the contribution of fugitive emissions from these stoves to indoor air concentrations has been poorly quantified. In this study, fugitive emissions were measured for four plancha-type cookstoves most disseminated in Mexico (Patsari, ONIL, Ecostufa, and Mera-Mera). In controlled testing, fugitive emissions from plancha-type chimney stoves ( n = 15 for each stove) were on average 5 ± 3% for PM2.5 and 1 ± 1% for CO, much lower than defaults in WHO Guidelines (25 ± 10%). Using a Monte Carlo single zone model with locally measured parameters, average kitchen concentrations resulting from fugitive emissions were 15 ± 9 μg/m3 for PM2.5 and 0.06 ± 0.04 mg/m3 for CO. On the basis of these models, plancha-type stoves meet benchmarks for WHO Air Quality Guidelines (AQG) Interim Target I for PM2.5 and the 24 h AQG for CO, respectively, with on average 97% of homes meeting the guideline for PM2.5. Similarly, all four plancha-type stoves were ISO IWA Tier 4 for indoor emissions of CO and Tier 3 for indoor emissions of PM2.5. Three-dimensional computational fluid dynamics (CFD) analysis was used to estimate neighborhood pollution impacts of upstream chimney emissions. When chimney emissions were included as background concentrations combined with indoor contributions from fugitive emissions, plancha-type stoves would still meet the WHO AQG Annual Interim Target I for PM2.5 and the 24 h AQG for CO for the scenario modeled in this study.

Nepal Ambient Monitoring and Source Testing Experiment (NAMaSTE): emissions of particulate matter from wood- and dung-fueled cooking fires, garbage and crop residue burning, brick kilns, and other sources

Abstract. The Nepal Ambient Monitoring and Source Testing Experiment (NAMaSTE) characterized widespread and under-sampled combustion sources common to South Asia, including brick kilns, garbage burning, diesel and gasoline generators, diesel groundwater pumps, idling motorcycles, traditional and modern cooking stoves and fires, crop residue burning, and heating fire. Fuel-based emission factors (EFs; with units of pollutant mass emitted per kilogram of fuel combusted) were determined for fine particulate matter (PM2.5), organic carbon (OC), elemental carbon (EC), inorganic ions, trace metals, and organic species. For the forced-draft zigzag brick kiln, EFPM2.5 ranged from 12 to 19 g kg−1 with major contributions from OC (7 %), sulfate expected to be in the form of sulfuric acid (31.9 %), and other chemicals not measured (e.g., particle-bound water). For the clamp kiln, EFPM2.5 ranged from 8 to 13 g kg−1, with major contributions from OC (63.2 %), sulfate (23.4 %), and ammonium (16 %). Our brick kiln EFPM2.5 values may exceed those previously reported, partly because we sampled emissions at ambient temperature after emission from the stack or kiln allowing some particle-phase OC and sulfate to form from gaseous precursors. The combustion of mixed household garbage under dry conditions had an EFPM2.5 of 7.4 ± 1.2 g kg−1, whereas damp conditions generated the highest EFPM2.5 of all combustion sources in this study, reaching up to 125 ± 23 g kg−1. Garbage burning emissions contained triphenylbenzene and relatively high concentrations of heavy metals (Cu, Pb, Sb), making these useful markers of this source. A variety of cooking stoves and fires fueled with dung, hardwood, twigs, and/or other biofuels were studied. The use of dung for cooking and heating produced higher EFPM2.5 than other biofuel sources and consistently emitted more PM2.5 and OC than burning hardwood and/or twigs; this trend was consistent across traditional mud stoves, chimney stoves, and three-stone cooking fires. The comparisons of different cooking stoves and cooking fires revealed the highest PM emissions from three-stone cooking fires (7.6–73 g kg−1), followed by traditional mud stoves (5.3–19.7 g kg−1), mud stoves with a chimney for exhaust (3.0–6.8 g kg−1), rocket stoves (1.5–7.2 g kg−1), induced-draft stoves (1.2–5.7 g kg−1), and the bhuse chulo stove (3.2 g kg−1), while biogas had no detectable PM emissions. Idling motorcycle emissions were evaluated before and after routine servicing at a local shop, which decreased EFPM2.5 from 8.8 ± 1.3 to 0.71 ± 0.45 g kg−1 when averaged across five motorcycles. Organic species analysis indicated that this reduction in PM2.5 was largely due to a decrease in emission of motor oil, probably from the crankcase. The EF and chemical emissions profiles developed in this study may be used for source apportionment and to update regional emission inventories.

Exposure to polycyclic aromatic hydrocarbons and volatile organic compounds among recently pregnant rural Guatemalan women cooking and heating with solid fuels.

Household air pollution is a major contributor to death and disability worldwide. Over 95% of rural Guatemalan households use woodstoves for cooking or heating. Woodsmoke contains carcinogenic or fetotoxic polycyclic aromatic hydrocarbons (PAHs) and volatile organic compounds (VOCs). Increased PAHs and VOCs have been shown to increase levels of oxidative stress. We examined PAH and VOC exposures among recently pregnant rural Guatemalan women exposed to woodsmoke and compared exposures to levels seen occupationally or among smokers. Urine was collected from 23 women who were 3 months post-partum three times over 72h: morning (fasting), after lunch, and following dinner or use of wood-fired traditional sauna baths (samples=68). Creatinine-adjusted urinary concentrations of metabolites of four PAHs and eight VOCs were analyzed by liquid chromatography-mass spectrometry. Creatinine-adjusted urinary biomarkers of oxidative stress, 8-isoprostane and 8-OHdG, were analyzed using enzyme-linked immunosorbent assays (ELISA). Long-term (pregnancy through 3 months prenatal) exposure to particulate matter and airborne PAHs were measured. Women using wood-fueled chimney stoves are exposed to high levels of particulate matter (median 48h PM2.5 105.7μg/m3; inter-quartile range (IQR): 77.6-130.4). Urinary PAH and VOC metabolites were significantly associated with woodsmoke exposures: 2-naphthol (median (IQR) in ng/mg creatinine: 295.9 (74.4-430.9) after sauna versus 23.9 (17.1-49.5) fasting; and acrolein: 571.7 (429.3-1040.7) after sauna versus 268.0 (178.3-398.6) fasting. Urinary PAH (total PAH: ρ=0.89, p<0.001) and VOC metabolites of benzene (ρ=0.80, p<0.001) and acrylonitrile (ρ=0.59, p<0.05) were strongly correlated with long-term exposure to particulate matter. However urinary biomarkers of oxidative stress were not correlated with particulate matter (ρ=0.01 to 0.05, p>0.85) or PAH and VOC biomarkers (ρ=-0.20 to 0.38, p>0.07). Urinary metabolite concentrations were significantly greater than those of heavy smokers (mean cigarettes/day=18) across all PAHs. In 15 (65%) women, maximum 1-hydroxypyrene concentrations exceeded the occupational exposure limit of coke-oven workers. The high concentrations of urinary PAH and VOC metabolites among recently pregnant women is alarming given the detrimental fetal and neonatal effects of prenatal PAH exposure. As most women used chimney woodstoves, cleaner fuels are critically needed to reduce smoke exposure.

A pilot study of traditional indoor biomass cooking and heating in rural Bhutan: gas and particle concentrations and emission rates.

Although many studies have reported the health effects of biomass fuels in developing countries, relatively few have quantitatively characterized emissions from biomass stoves during cooking and heating. The aim of this pilot study was to characterize the emission characteristics of different biomass stoves in four rural houses in Bhutan during heating (metal chimney stove), rice cooking (traditional mud stove), fodder preparation (stone tripod stove), and liquor distillation (traditional mud stove). Three stage measurements (before, during, and after the activity had ceased) were conducted for PM2.5 , particle number (PN), CO, and CO2 . When stoves were operated, the pollutant concentrations were significantly elevated above background levels, by an average of 40 and 18 times for PM2.5 and CO, respectively. Emission rates (mg/min) ranged from 1.07×102 (PM2.5 ) and 3.50×102 (CO) for the stone tripod stove during fodder preparation to 6.20×102 (PM2.5 ) and 2.22×103 (CO) for the traditional mud stove during liquor distillation. Usable PN data were only available for one house, during heating using a metal chimney stove, which presented an emission rate of 3.24×1013 particles/min. Interventions to control household air pollution in Bhutan, in order to reduce the health risks associated with cooking and heating, are recommended.

Lung function in woodsmoke-exposed Guatemalan children following a chimney stove intervention

RationaleHousehold air pollution (HAP) from solid fuel combustion is a major contributor to the global burden of disease, with considerable impact from respiratory infections in children. The impact of HAP...

Lung Function in Rural Guatemalan Women Before and After a Chimney Stove Intervention to Reduce Wood Smoke Exposure: Results From the Randomized Exposure Study of Pollution Indoors and Respiratory Effects and Chronic Respiratory Effects of Early Childhood Exposure to Respirable Particulate Matter Study

COPD is the third most frequent cause of death globally, with much of this burden attributable to household biomass smoke exposure in developing countries. As biomass smoke exposure is also associated with cardiovascular disease, lower respiratory infection, lung cancer, and cataracts, it presents an important target for public health intervention. Lung function in Guatemalan women exposed to wood smoke from open fires was measured throughout the Randomized Exposure Study of Pollution Indoors and Respiratory Effects (RESPIRE) stove intervention trial and continued during the Chronic Respiratory Effects of Early Childhood Exposure to Respirable Particulate Matter (CRECER) cohort study. In RESPIRE, early stove households received a chimney woodstove at the beginning of the 18-month trial, and delayed stove households received a stove at trial completion. Personal exposure to wood smoke was assessed with exhaled breath carbon monoxide (CO) and personal CO tubes. Change in lung function between intervention groups and as a function of wood smoke exposure was assessed using random effects models. Of 306 women participating in both studies, acceptable spirometry was collected in 129 early stove and 136 delayed stove households (n = 265), with a mean follow-up of 5.6 years. Despite reduced wood smoke exposures in early stove households, there were no significant differences in any of the measured spirometric variables during the study period (FEV1, FVC, FEV1/FVC ratio, and annual change) after adjustment for confounding. In these young Guatemalan women, there was no association between lung function and early randomization to a chimney stove or personal wood smoke exposure. Future stove intervention trials should incorporate cleaner stoves, longer follow-up, or potentially susceptible groups to identify meaningful differences in lung function.