Household Indoor Air Pollution Research Articles

Impact of indoor air pollution on DNA damage and chromosome stability: a systematic review.

Indoor air pollution is becoming a rising public health problem and is largely resulting from the burning of solid fuels and heating in households. Burning these fuels produces harmful compounds, such as particulate matter regarded as a major health risk, particularly affecting the onset and exacerbation of respiratory diseases. As exposure to polluted indoor air can cause DNA damage including DNA sd breaks as well as chromosomal damage, in this paper, we aim to provide an overview of the impact of indoor air pollution on DNA damage and genome stability by reviewing the scientific papers that have used the comet, micronucleus, and γ-H2AX assays. These methods are valuable tools in human biomonitoring and for studying the mechanisms of action of various pollutants, and are readily used for the assessment of primary DNA damage and genome instability induced by air pollutants by measuring different aspects of DNA and chromosomal damage. Based on our search, in selected studies (in vitro, animal models, and human biomonitoring), we found generally higher levels of DNA strand breaks and chromosomal damage due to indoor air pollutants compared to matched control or unexposed groups. In summary, our systematic review reveals the importance of the comet, micronucleus, and γ-H2AX assays as sensitive tools for the evaluation of DNA and genome damaging potential of different indoor air pollutants. Additionally, research in this particular direction is warranted since little is still known about the level of indoor air pollution in households or public buildings and its impact on genetic material. Future studies should focus on research investigating the possible impact of indoor air pollutants in complex mixtures on the genome and relate pollutants to possible health outcomes.

Effects of household environmental exposure and ventilation in association with adverse birth outcomes: A prospective cohort study in rural China

Prenatal exposure to outdoor air pollution have been associated with birth outcomes. However, there is limited evidence on the adverse effects of household indoor air pollution worldwide, much less in rural areas of China. This study aimed to explore the associations of household environmental factors (primary cooking fuel, housing renovation, and home ventilation) with four adverse birth outcomes (preterm birth (PTB), small for gestational age (SGA), low birth weight (LBW), and term low birth weight (T-LBW)). We conducted a cohort study involving 10,324 pregnancies in women who delivered a live-born infant from 2015 to 2018 in Guangxi, China. Risk ratios and 95% confidence intervals (CI) were estimated with control for reproductive history, lifestyle, home environmental confounders, and other potential confounders. A total of 5.4% of the infants were PTB, 10.7% were SGA, 5.5% had LBW, and 3.0% had T-LBW. Household-use induction cookers as the primary cooking fuel during pregnancy was associated with SGA (RR = 1.31, 95% CI: 1.07–1.60), LBW (1.41, 1.09–1.82), and T-LBW(1.62, 1.16–2.26), as compared with household-use gas as the primary cooking fuel. Housing renovation within one year before pregnancy was associated with PTB (1.45, 1.06–1.98) and LBW (1.56, 1.17–2.09), while housing renovation during pregnancy was associated with a higher risk of SGA only in moderate home ventilation conditions (3.74, 1.69–8.28). Our findings suggested that household-use induction cookers as the primary cooking fuel increased the risks of SGA, LBW, and T-LBW. In addition, housing renovation within one year before pregnancy increased the risks of PTB and LBW. Proper home ventilation may reduce the effect on the association between housing renovation during pregnancy and SGA.

User-centered design of an air quality feedback technology to promote adoption of clean cookstoves

Recent work has examined behavioral reactivity associated with personal awareness of electronic sensors monitoring the use of environmental health products, including cookstoves. These studies suggest that sensors could be used as behavior change tools. We present a human-centered design approach toward the development of a household air quality feedback technology intended to improve consistent and exclusive use of liquid petroleum gas (LPG) stoves provided as part of a health efficacy study. We found through a consultation process that households may be behaviorally triggered by reminders of the health and environmental impacts of cooking practices and may respond to both auditory and visual feedback. Based on these insights, we designed and validated a system linking air particulate monitoring with persistent visual feedback and a dynamic audio alarm. Data collected over 14 days in participants households show that the system is able to detect sudden rises in household indoor air pollution and to communicate that information to household members. This device could be used as a tool to raise awareness of air pollution associated in order to stimulate adoption of cleaner cooking technologies.

Abstract 3239: Molecular biomarkers and indoor household air pollution in a rural area of China

Abstract To explore the influence of fuel source used for home heating and cooking on biomarkers of potential genomic instability, we analyzed biological samples obtained from a cross-sectional study of 104 female never-smokers enrolled from 30 villages in Xuanwei and Fuyuan in Yunnan Province, a rural region with a high incidence of lung cancer in China. Study subjects who used primarily smoky (i.e., bituminous) coal (n=80), smokeless coal (i.e., anthracite) (n=14) and wood (n=10) were analyzed. Personal 24-h air PM2.5 and polycyclic aromatic hydrocarbon concentrations were measured over two consecutive days in each household. DNA was extracted from peripheral white blood cells. We assayed molecular biomarkers of potential genomic instability including the Alu copy number to albumin gene (ALB) ratio (Alu/ALB), 5.8S ribosomal DNA to ALB ratio (5.8S rDNA/ALB) and 18S ribosomal DNA to ALB ratio (18S rDNA/ALB), which were weakly to highly correlated with each other. Multiple linear regression was performed to analyze the association between fuel type and these biomarkers, adjusted for age, as well as the influence of benzo[a]pyrene (BaP) and PM2.5 concentration. There was a significant difference (p = 0.041) in levels of 18S rDNA/ALB among the three exposure groups [mean (standard deviation [sd]) = 1.30 (0.42), 1.58 (0.72), and 1.65 (0.62) among smoky, smokeless coal and wood users, respectively]. There were substantial differences in personal PM2.5 exposure among smoky coal, smokeless coal, and wood users [mean (sd) =184 (127), 227 (318), and 433 (284) µg/m3, respectively, p = 0.0004]. PM2.5 exposure was significantly and positively associated with 18S rDNA/ALB (p = 0.001). Further, after adjustment for PM2.5, the association between fuel type and 18S rDNA/ALB became non-significant (p = 0.24). Similar positive associations were observed between PM2.5 and 5.8S rDNA/ALB (p=0.009) and Alu/ALB (p=0.0003). There were no associations identified between BaP and these biomarkers after adjustment for PM2.5. Our findings suggest that exposure to PM2.5, which has been associated with increased risks of lung cancer and cardiovascular disease, may alter potential molecular markers of genomic instability. Additional studies are needed to confirm these findings and further understand the role of these biomarkers in predicting human health effects. Citation Format: Wei Hu, Richard M. Cawthon, George Downward, Boris Reiss, Jihua Li, Jun He, Jun Xu, Wei Jie Seow, Bryan A. Bassig, Jason Y. Wong, Dean Hosgood, Lützen Portengen, Nathaniel Rothman, Roel Vermeulen, Qing Lan. Molecular biomarkers and indoor household air pollution in a rural area of China [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2018; 2018 Apr 14-18; Chicago, IL. Philadelphia (PA): AACR; Cancer Res 2018;78(13 Suppl):Abstract nr 3239.

Incense Smoke and Increasing Carotid Intima Media Thickness: A Cross-Sectional Study of the Thai-Vietnamese Community.

Incense burning, a source of household indoor air pollution, is possible to effect on cardiovascular system. Our study sought to examine the association of long-term exposure to household incense smoke with increased carotid intima-media thickness (CIMT). A cross-sectional study was conducted 132 adults aged ≥35 years. Participants were stratified into 3 groups by their long-term household incense use; nonexposed group, non-daily exposed group, and daily exposed group. A combined mean CIMT (mean difference = 0.04 mm; P < .01) and combined maximum CIMT (mean difference = 0.09 mm; P < .01) in the daily exposed group had greater than the nonexposed group. The mean CIMT and maximum CIMT of the left common carotid artery in the daily exposed group was significantly greater than the nonexposed group ( P < .01). These findings suggest that incense burning inside the house may be a risk factor for cardiovascular disease morbidity and mortality.

Law and features of TVOC and Formaldehyde pollution in urban indoor air

There are several categories of indoor air pollutants. Organic pollutants are the most common ones. This study chooses TVOC and Formaldehyde, two of the typical pollutants, as indicators of evaluating household indoor air pollution and improves the TVOC concentration prediction model through the samples of indoor air taken from 3122 households. This study also categorizes and explains the features of household indoor air pollution based on the TVOC and Formaldehyde models as well as a large amount of sample measurement. Moreover, this study combines the TVOC model with the Formaldehyde model to calculate and verify the critical values of each type of indoor air pollution. In this study, indoor air pollution is categorized into three types: decoration pollution, consumption pollution and transition pollution. During the first 12 months after decoration, decoration pollution is the primary pollution type, both TVOC and Formaldehyde are highly concentrated while sometimes seriously over the standard. Pollutants mainly come from volatile sources. After the first 12 month but before 24 months the indoor air pollution is transition pollution. Both decoration materials and human activates affect the indoor air quality. 24 months after decoration, it transits into consumption pollution. In this stage, the main pollutants come from combustion sources, and concentration of pollutants fluctuates with the appearance and disappearance of the sources.

Designs of two randomized, community-based trials to assess the impact of alternative cookstove installation on respiratory illness among young children and reproductive outcomes in rural Nepal.

BackgroundAcute lower respiratory infections (ALRI) are a leading cause of death among children. Low birthweight is prevalent in South Asia and associated with increased risks of mortality, and morbidity, high levels of indoor household air pollution caused by open burning of biomass fuels are common and associated with high rates of ALRI and low birthweight. Alternative stove designs that burn biomass fuel more efficiently have been proposed as one method for reducing these high exposures and lowering rates of these disorders. We designed two randomized trials to test this hypothesis.Methods/designWe conducted a pair of community-based, randomized trials of alternative cookstove installation in a rural district in southern Nepal. Phase one was a cluster randomized, modified step-wedge design using an alternative biomass stove with a chimney. A pre-installation period of morbidity assessment and household environmental assessment was conducted for six months in all households. This was followed by a one year step-wedge phase with 12 monthly steps for clusters of households to receive the alternative stove. The timing of alternative stove introduction was randomized. This step-wedge phase was followed in all households by another six month follow-up phase. Eligibility criteria for phase one included household informed consent, the presence of a married woman of reproductive age (15–30 yrs) or a child < 36 months. Children were followed until 36 months of age or the end of the trial. Pregnancies were identified and followed until completion or end of the trial. Phase two was an individually randomized trial of the same alternative biomass stove versus liquid propane gas stove in a subset of households that participated in phase one. Follow-up for phase two was 12 months following stove installation. Eligibility criteria included the same components as phase one except children were only enrolled for morbidity follow-up if they were less than 24 months.The primary outcomes included: incidence of ALRI in children and birthweight.DiscussionWe presented the design and methods of two randomized trials of alternative cookstoves on rates of ALRI and birthweight.Trial registrationClinicaltrials.gov (NCT00786877, Nov. 5, 2008).

Characteristics of indoor air pollution in rural mountainous and rural coastal communities in Indonesia

The increased use of biomass fuel use among rural Indonesian households for years despite national program on subsidized LPG fuel distribution pose threat of indoor air pollution for the householders. Indoor air pollution levels of PM2.5 and CO in the kitchen of 40 households using the fuelwood as the main cooking fuel were measured in the same season in mountainous and coastal areas in Indonesia. The temporal variations of PM2.5 and its size distributions were simultaneously measured using photoelectric UCB monitor and personal cascade impactor, respectively. While carbon monoxide (CO) concentrations were measured using USB-CO monitors. Household indoor air pollution in the mountainous area was generally higher than that in the coastal area. This is because the households in coastal area have higher kitchen volume (about three times), smaller ventilation area (about 1.7 times) and shorter cooking duration with wood fuel (0.6 times) than those in mountainous area. Yet, during cooking with fuelwood, the indoor PM2.5 concentrations at the cook site showed almost comparable results for both sites. The wood stove burning in coastal area tended to be in flaming combustion than in mountainous area. This can be indicated by a higher fraction of finest particles in PM2.5, a higher fraction of EC in PM2.5 and a higher fraction of K+ and Cl− ions in PM2.5 mass concentrations. The time-averaged CO concentrations for 22-h measurements at the mountainous area were higher than those in coastal area. The mountainous area showed higher positive correlation relationship between the measured concentrations of CO and PM2.5 than those in the coastal area. The use of cleaner fuel, e.g., subsidized LPG fuel in rural area should be promoted and managed intensively in mountainous area than in coastal area to avoid people exposure of health damaging indoor air pollutants.

Exhaled carbon monoxide and its associations with smoking, indoor household air pollution and chronic respiratory diseases among 512 000 Chinese adults

Background Exhaled carbon monoxide (COex) level is positively associated with tobacco smoking and exposure to smoke from biomass/coal burning. Relatively little is known about its determinants in China despite the population having a high prevalence of smoking and use of biomass/coal.Methods The China Kadoorie Biobank includes 512 000 participants aged 30-79 years recruited from 10 diverse regions. We used linear regression and logistic regression methods to assess the associations of COex level with smoking, exposures to indoor household air pollution and prevalent chronic respiratory conditions among never smokers, both overall and by seasons, regions and smoking status.Results The overall COex level (ppm) was much higher in current smokers than in never smokers (men: 11.5 vs 3.7; women: 9.3 vs 3.2). Among current smokers, it was higher among those who smoked more and inhaled more deeply. Among never smokers, mean COex was positively associated with levels of exposures to passive smoking and to biomass/coal burning, especially in rural areas and during winter. The odds ratios (OR) and 95% confidence interval (CI) of air flow obstruction (FEV1/FVC ratio <0.7) for never smokers with COex at 7–14 and ≥14 ppm, compared with those having COex <7, were 1.38 (1.31–1.45) and 1.65 (1.52–1.80), respectively (Ptrend <0.001). Prevalence of other self-reported chronic respiratory conditions was also higher among people with elevated COex (P <0.05).Conclusion In adult Chinese, COex can be used as a biomarker for assessing current smoking and overall exposure to indoor household air pollution in combination with questionnaires.

Impact of Reduced Maternal Exposures to Wood Smoke from an Introduced Chimney Stove on Newborn Birth Weight in Rural Guatemala

Background: A growing body of evidence indicates a relationship between household indoor air pollution from cooking fires and adverse neonatal outcomes, such as low birth weight (LBW), in resource-poor countries.Objective: We examined the effect of reduced wood smoke exposure in pregnancy on LBW of Guatemalan infants in RESPIRE (Randomized Exposure Study of Pollution Indoors and Respiratory Effects).Methods: Pregnant women (n = 266) either received a chimney stove (intervention) or continued to cook over an open fire (control). Between October 2002 and December 2004 we weighed 174 eligible infants (69 to mothers who used a chimney stove and 105 to mothers who used an open fire during pregnancy) within 48 hr of birth. Multivariate linear regression and adjusted odds ratios (ORs) were used to estimate differences in birth weight and LBW (< 2,500 g) associated with chimney-stove versus open-fire use during pregnancy.Results: Pregnant women using chimney stoves had a 39% reduction in mean exposure to carbon monoxide compared with those using open fires. LBW prevalence was high at 22.4%. On average, infants born to mothers who used a stove weighed 89 g more [95% confidence interval (CI), –27 to 204 g] than infants whose mothers used open fires after adjusting for maternal height, diastolic blood pressure, gravidity, and season of birth. The adjusted OR for LBW was 0.74 (95% CI, 0.33–1.66) among infants of stove users compared with open-fire users. Average birth weight was 296 g higher (95% CI, 109–482 g) in infants born during the cold season (after harvest) than in other infants; this unanticipated finding may reflect the role of maternal nutrition on birth weight in an impoverished region.Conclusions: A chimney stove reduced wood smoke exposures and was associated with reduced LBW occurrence. Although not statistically significant, the estimated effect was consistent with previous studies.

Effect of chimneys on indoor air concentrations of PM 10 and benzo[a]pyrene in Xuan Wei, China

This paper reports the effect of chimneys in reducing indoor air pollution in a lung cancer epidemic area of rural China. Household indoor air pollution concentrations were measured during unvented burning (chimneys blocked) and vented burning (chimneys open) of bituminous coal in Xuan Wei, China. Concentrations of particulate matter with an aerodynamic diameter of 10 μm or less (PM 10) and of benzo[a]pyrene (BaP) were measured in 43 homes during normal activities. The use of chimneys led to significant decreases in indoor air concentrations of particulate matter with an aerodynamic diameter of 10 μm or less (PM 10) by 66% and of benzo[a]pyrene (BaP) by 84%. The average BaP content of PM 10 also decreased by 55% with the installation of a chimney. The reduction of indoor pollution levels by the installation of a chimney supports the epidemiology findings on the health benefits of stove improvement. However, even in the presence of a chimney, the indoor air concentrations for both PM 10 and BaP still exceeded the indoor air quality standards of China. Movement up the energy ladder to cleaner liquid or gaseous fuels is probably the only sustainable indoor air pollution control measure.

Mortality and Greenhouse Gas Impacts of Biomass and Petroleum Energy Futures in Africa

We analyzed the mortality impacts and greenhouse gas (GHG) emissions produced by household energy use in Africa. Under a business-as-usual (BAU) scenario, household indoor air pollution will cause an estimated 9.8 million premature deaths by the year 2030. Gradual and rapid transitions to charcoal would delay 1.0 million and 2.8 million deaths, respectively; similar transitions to petroleum fuels would delay 1.3 million and 3.7 million deaths. Cumulative BAU GHG emissions will be 6.7 billion tons of carbon by 2050, which is 5.6% of Africa's total emissions. Large shifts to the use of fossil fuels would reduce GHG emissions by 1 to 10%. Charcoal-intensive future scenarios using current practices increase emissions by 140 to 190%; the increase can be reduced to 5 to 36% using currently available technologies for sustainable production or potentially reduced even more with investment in technological innovation.