Kitchen Location Research Articles

Factors Determining Black Carbon Exposures among Pregnant Women Enrolled in the HAPIN Trial.

Residential biomass burning is an important source of black carbon (BC) exposure among rural communities in low- and middle-income countries. We collected 7165 personal BC samples and individual/household level information from 3103 pregnant women enrolled in the Household Air Pollution Intervention Network trial. Women in the intervention arm received free liquefied petroleum gas stoves and fuel throughout pregnancy; women in the control arm continued the use of biomass stoves. Median (IQR) postintervention BC exposures were 9.6 μg/m3 (5.2-14.0) for controls and 2.8 μg/m3 (1.6-4.8) for the intervention group. Using mixed models, we characterized predictors of BC exposure and assessed how exposure contrasts differed between arms by select predictors. Primary stove type was the strongest predictor (R2 = 0.42); the models including kerosene use, kitchen location, education, occupation, or stove use hours also provided additional explanatory power from the base model adjusted only for the study site. Our full, trial-wide, model explained 48% of the variation in BC exposures. We found evidence that the BC exposure contrast between arms differed by study site, adherence to the assigned study stove, and whether the participant cooked. Our findings highlight factors that may be addressed before and during studies to implement more impactful cookstove intervention trials.

Investigating neighbourhood environmental risk factors associated with childhood acute respiratory infection symptoms in Ethiopia mixed effect and multilevel logistic regression analysis based on EDHS 2016.

Acute respiratory infection is an infectious illness caused by acute viral or bacterial infection. According to a 2018 WHO report, exposures to indoor and ambient air environmental pollution were contributing factors to a higher risk of respiratory problems following 7 million deaths of children under five globally. Housing conditions such as wall material, roof type, kitchen location, sanitation condition, and cooking fuel type are household-level predictors of acute respiratory disease among children under five years of age. This research used EDHS-2016 secondary data, which are nationally representative. The data collection period was from January 18, 2016, to June 27, 2016. Among the 16,650 total surveys, 10,006 households that had children below 5 years of age. The outcome variable for this study was acute respiratory infection symptoms. Analyses were performed using STATA Version 17.1. The data were weighted before performing analysis to reinstate the representativeness of the sample. In the bivariable analysis, a p value <0.2 was used to screen for multivariable. Multicollinearity was checked using the variance inflation factor. Then, a multilevel multivariable regression model was used in this study for the analysis of acute respiratory infection symptoms and possible predictor variables. Variables with a p value <0.05 in multivariable regression analysis were considered statistically significant predictors. Most (95.00%) households commonly used solid fuel for cooking, and household main construction materials: 81.44 and 91.03% of floors and walls of households were constructed with unprocessed natural materials, respectively. The prevalence of acute respiratory infection symptoms among children under five years of age was 7.955% (7.397, 8.551%). The findings indicated that acute respiratory infection symptoms among children under five years of age were significantly linked with the age of the children, diarrhea status, residence, region, fuel type, stool disposal, wall material, and floor material. Interventions should target modifiable factors such as proper stool disposal of the youngest child, informing the health effects of poor housing conditions such as improving wall and floor construction material to reduce acute respiratory infection symptoms among children under five years of age.

The Evaluation of Living spaces and Service parts in The Dwell-ing Units in single-family Housing Projects in Erbil city

Housing is one of the main concerns raising critical problems in the Kurdistan Region. Due to the fast growth of the urban population through the last period, the Kurdistan-Investment Board was ongoing in construction of effective amount of housing estates by investment companies. Due to the rapid increase in population, many housing estate projects neglected specific family requirements, with low commitment to housing standards, quality of dwellings, and the resident's lifestyles. This study investigates living space and services parts of dwellings in those estates, finding out the factors that direct residential satisfaction supported by fixing correlations among determinants of overall satisfaction. The adopted methodology consists of evaluation based on two steps, the first was by a technical assessment using checklist comparing spaces with Iraqi standards, while the second part was through survey of resident's satisfaction. Field data collection had consisted of a questionnaire list and data collection performed for five housing projects (10 types of dwelling units covered by eighty-three samples) selected in Erbil city. Then the questionnaire results were analyzed using the SPSS program using correlations, regression, and descriptive statistics. Low commitment to Iraqi Standards was obvious in most cases. Results also showed that dwellers were satisfied with their dwelling units in cases despite differences with Iraqi urban housing standards. For instance, in two bedrooms dwellings, areas of services were below the standard by 21% while the resident's satisfaction in this group varied between neutral and satisfied. It had been found a clear correlation between indicators of dwellings units’ spaces. The regression has shown that the indicators of the kitchen location's size and shape highly affected the householder's satisfaction. The descriptive statistics have shown the satisfaction level mostly been neutral in all projects. Finally, the study suggests some recommendations regarding dwelling units in addition to the need to amend the Iraqi standards of housing.

ARCHITECTURAL TYPOLOGY AND DISTRIBUTION OF MAIN HOUSES IN THE KISOHIRASAWA IMPORTANT PRESERVATION DISTRICT FOR GROUPS OF TRADITIONAL BUILDINGS

In this study, the townhouses in the historical district of Kiso-Hirasawa, Nagano, Japan, were classified according to their rooms’ configuration and kitchen location. They have tori-doma (earthen floor), and the rooms are usually arranged in the order of mise, okatte (kitchen), and zashiki. In modern times, however, the kitchen is often built in the back. Looking at the distribution of typologies, we can see that while many traditional typologies remain in Nakamachi, modern ones are found in other areas. This analysis by architectural typology is an effective means for observing the transformation of urban spaces.

Non-adoption decision of biogas in rural Pakistan: use of multinomial logit model.

In 2009, Pakistan introduced a subsidized biogas program to disseminate clean and affordable energy in rural areas. However, the adoption rate did not appear as expected. Therefore, the present study aims to examine the determinants behind the non-adoption of biogas digesters. Detailed information via a structured questionnaire was obtained from biogas adopters and non-adopters, and analyses were performed in two levels. Initially, the study used the multinomial logit regression to elicit the non-adoption behavior. Results depicted family size, risk aversion, cook education (women), kitchen (inside the home), home structure, and non-availability of inputs as significant factors behind non-adoption. Detailed analysis also revealed that the factors like the age of household head, area of the house, cook education (women), location of the kitchen (inside the home), and the distance of the house to the bus stop (minutes) lead towards the potential adoption of biogas. The study also investigated the potential factors behind the long-term sustainability of biogas digesters with the help of binary logit. The results depicted that the kitchen's location (inside the house), cook education (women), training, and subsidy significantly and positively impact the biogas plant's probability of being functional. Based on these results, the study suggested that policymakers increase women's education in rural areas, provide a subsidy to reduce costs and risk, and arrange training for adopters.

Social inequality influences the impact of household air pollution on birth outcomes

BackgroundStudies demonstrated associations between maternal exposure to household air pollution from cooking and increased risk of adverse birth outcomes in offspring; however, the modifying effect of socioeconomic status (SES) on this association has not been explored. ObjectivesIn a cohort of pregnant women with 800 single live births between 2016 and 2017 in rural and semi urban areas of Bangladesh, we tested the hypotheses that kitchen location and cooking fuel type affect birth outcomes (birth weight, low birth weight [LBW] and small for gestational age [SGA]) and these associations vary by SES. MethodsDemographic characteristics including SES, kitchen location and fuel type were assessed in prenatal visits. Neonatal anthropometric measurements were recorded within 72 h of births. We performed multivariable linear and logistic regressions adjusting for potential confounders to test the study hypotheses. ResultsFor newborns from households with indoor kitchens, adjusted mean birth weight was 65.13 g (95% confidence interval [CI]: −118.37, −11.90) lower and the odds of LBW and SGA were 58% (odds ratio [OR]:1.58, 95% CI: 1.12, 2.24) and 41% (OR: 1.41, 95% CI: 1.05, 1.92) higher compared to those born in households with outdoor kitchens. We found SES significantly modified the associations between kitchen location and birth outcomes in households using biomass fuels. Newborns from low SES households with indoor kitchens had 89 g lower birth weight and a higher odds of being born with LBW (OR: 2.08, 95% CI 1.23, 3.58), and SGA (OR: 1.70, 95% CI 1.06, 2.76) than those born in high SES households using outdoor kitchens. ConclusionsIn areas with poor access or affordability to clean fuel such as in our study population, cooking in an outdoor kitchen can reduce the burden of LBW and SGA, particularly for low SES households. Promoting outdoor kitchens is a possible intervention strategy to mitigate adverse birth outcomes.

Effect of biomass fuel use and kitchen location on maternal report of birth size: Cross-sectional analysis of 2016 Ethiopian Demographic Health Survey data

ObjectivesHousehold air pollution from the use of biomass fuels has been associated with low birth weight in many developing countries. This study aimed to investigate the effect of indoor air pollution from biomass fuels and kitchen location on maternal reports of child size at birth in Ethiopia. Study designA cross-sectional study design based on the secondary data analysis was used. MethodsA secondary data analysis was conducted using data from the 2016 Ethiopian Demographic Health Survey. Birth weight from child health cards and/or mother's recall was the dependent dichotomous variable. Fuel type was classified as high-pollution fuels (i.e. wood, straw, animal dung, crop residues, kerosene, coal and charcoal) and low-pollution fuels (i.e. electricity, liquid petroleum gas, natural gas and biogas). Hierarchical logistic regression was used to assess the effect of fuel type on birth weight. Adjusted odds ratios (AORs) and their 95% confidence interval (CIs) were calculated. A p-value less than 0.05 was considered significant. ResultsThe prevalence of low birth weight was 17% and 26.2% among low- and high-polluting fuel users, respectively. Compared with low-polluting fuels, the use of high-polluting cooking fuels was associated with an increased likelihood of low birth weight (unadjusted crude odds ratio 1.7; 95% CI 1.3, 2.3). AOR remained at 1.7 (95% CI 1.26, 2.3) after controlling for child variables. AOR after controlling for both child and maternal factors was 1.5 (95% CI 1.1, 2.1). In the final model, the association became insignificant with an AOR of 1.3 (95% CI 0.9, 1.9). The kitchen location, gender of the baby, mother's anaemia status, maternal chat chewing and wealth index were significant factors in the final model. ConclusionsIn this study, the use of biomass fuels and kitchen location were associated with reduced child size at birth. Further observational studies should investigate this association using more direct methods for measurement of exposure to smoke emitted from biomass fuels on birth weight.

A GIS-based method for central kitchen location selection problem

Central Kitchen is a new trend in the food and beverage industry. COVID-19 pandemic causes a disruptive economy globally. The central kitchen business is being considered to be developed because of the restriction living regulation in Indonesia and the function of this central kitchen can help the micro-business actors to develop their businesses with a lower operational cost because all of the transactions are carried out via delivery. This study aims to visualize the potential areas to develop central kitchen businesses in Jabodetabek. A GIS-based approach is implemented to carry out the geoprocessing process of spatial information to performs the spatial analysis.Overlay analysis is conducted using Kernel Density Estimation map, to identify potential areas. This study identified several potential areasin several cities to develop central kitchen businesses, namelyCentral Jakarta, West Jakarta, South Jakarta, Tangerang City, Bekasi, and Bogor.

Maternal exposure to cooking smoke and risk of low birth weight in India

Over half of the households in India are using unclean cooking fuels (UCF) and exposed to harmful pollutants that has adverse effects on weight of new born baby. Though studies examined the contextual determinants of birth weight, the association of cooking practices and kitchen location with low birth weight (LBW) is limited in India. This paper investigates the comprehensive effects of household air pollution (HAP) on LBW, mean birth weight (MBW) and birth size in India. Data from 93,721 full-term singleton births from the fourth round of National Family Health Survey, conducted during 2015–16 is used in the analyses. Binary logistic and linear regression methods were used to assess the effect of cooking practices on the outcome variables. Children born in households using clean cooking fuels (CCF) (2877 g, 95% CI: 2876–2877) had 80 g higher birth weight compared with UCF (2797 g, 95% CI: 2796–2798). Households using UCF and cooking without separate kitchen (2779 g, 95% CI:2778–2780) had 59 g and 98 g lower MBW as compared to the households using UCF and cooking in separate kitchen (2817 g, 95% CI:2816–2818) and CCF respectively. Significant associations of LBW observed with the place of cooking and cooking practices but no significant association found for cooking fuels. The HAP from poor cooking practices is associated with risks of LBW in India. Transition from unclean to clean fuels, provision of the separate kitchen should be encouraged to reduce the maternal exposure to HAP and improve birth outcomes.

Logistic regression analysis of environmental and other variables and incidences of tuberculosis in respiratory patients

The objective of this study was to examine the association of 14 variables with TB in respiratory patients. The variables included: urban/rural, persons in 1200 sqft area, TB in family, crowding, smoking (family member), gender, age, education, smoking, workplace, kitchen location, cooking fuel, ventilation, and kerosene uses. Eight hundred respiratory patients were tested for sputum positive pulmonary TB; 500 had TB and 300 did not. An analysis of the unadjusted odds ratio (UOR) and adjusted OR (AOR) was undertaken using logistic regression to link the probability of TB incidences with the variables. There was an inconsistency in the significance of variables using UOR and AOR. A subset model of 4 variables (kerosene uses, ventilation, workplace, and gender) based on significant AOR was adjudged acceptable for estimating the probability of TB incidences. Uses of kerosene (AOR 2.62 (1.95, 3.54)) consistently related to incidences of TB. It was estimated that 50% reduction in kerosene uses could reduce the probability of TB by 13.29% in respiratory patients. The major recommendation was to replace kerosene uses from households with a supply of clean fuel like liquid petroleum or natural gas and rural electrification.

Inverse association between dengue, chikungunya, and Zika virus infection and indicators of household air pollution in Santa Rosa, Guatemala: A case-control study, 2011-2018.

BackgroundDengue, chikungunya, and Zika viruses are increasingly important public health problems. Burning vegetation, leaves, and other plant products have been shown to be effective mosquito repellents for their vector, Aedes spp., but there has been scant research on whether firewood cooking smoke in households influences mosquito populations or mosquito-borne diseases. About 2.9 billion people worldwide use biomass fuel for household cooking and heating, resulting in an estimated 1.6 million deaths annually from household air pollution (HAP)-related diseases. Global health agencies now encourage households to transition from biomass to clean fuels, but it is unclear whether such interventions may actually increase risk for mosquito-borne diseases. This retrospective case-control study evaluated associations between arboviral infections and cooking with firewood in Santa Rosa, Guatemala.MethodVigilancia Integrada Comunitaria (VICo) was a prospective public health surveillance system for bacterial, parasitic, and viral causes of diarrheal, neurological, respiratory, and febrile illnesses in hospitals and clinics in the department of Santa Rosa, Guatemala. Enrolled VICo in-patients and out-patients during 2011–2018 were interviewed using standardized questionnaires on demographics and household characteristics. Blood and stool specimens were collected and tested to identify the etiologies presenting symptoms. Cases were defined as laboratory-positive for dengue, chikungunya, or Zika virus infections. Controls were laboratory-positive for bacterial and viral diarrheal illnesses (e.g., Salmonella, Shigella, Campylobacter, Escherichia coli, rotavirus, norovirus, sapovirus, or astrovirus). Cooking with firewood, kitchen location, stove type, and firewood cooking frequency were the independent exposure variables. Logistic regression models were used to analyze unadjusted and adjusted associations between arboviral infections and exposures of interest.ResultThere were 311 arboviral cases and 1,239 diarrheal controls. Arboviral infections were inversely associated with cooking with firewood in the main house (AOR: 0.22; 95% CI: 0.08–0.57), cooking with firewood on an open hearth (AOR: 0.50; 95% CI: 0.33–0.78), and cooking with firewood ≥5 times per week (AOR: 0.54; 95% CI: 0.36–0.81), adjusting for age, sex, ethnicity, socioeconomic status index, number of people per household, community population density, community elevation, recruitment location, season, and admission year.ConclusionSeveral primary determinants of HAP exposure were inversely associated with arboviral infections. Additional studies are needed to understand whether interventions to reduce HAP might actually increase risk for mosquito-borne infectious diseases, which would warrant improved education and mosquito control efforts in conjunction with fuel interventions.

Association of biomass fuel smoke with respiratory symptoms among children under 5 years of age in urban areas: results from Bangladesh Urban Health Survey, 2013

BackgroundLittle is known regarding the effect of exposure to biomass fuel smoke inhalation on respiratory symptoms in the Bangladeshi population which is a major health hazard in most of the developing countries. This study aims to explore the association between respiratory symptoms and biomass fuel smoke exposure among children under 5 years of age.MethodsData were extracted from the Bangladesh Urban Health Survey conducted in 2013. A total of 10,575 mothers with at least one surviving children were selected. Respiratory symptoms among children under 5 years of age were considered as the primary outcome. Sequential multiple logistic regression models were used to observe the association between respiratory symptoms and biomass fuel smoke exposure adjusting the effect of residential factors and mother and child characteristics.ResultsAround 40% of the mothers exclusively used biomass fuel irrespective of the kitchen location and 54% of them were habituated in indoor cooking. The prevalence of respiratory symptoms of under-five children among in-house and outdoor biomass fuel users was 23.0% and 21.9%, respectively. Results of fitted multiple logistic regression models showed that the odds of having respiratory symptoms among children under 5 years of age were increased due to in-house biomass fuel use [OR = 1.18; 95% CI, 1.04–1.36] compared with the non-biomass user. An increased risk of respiratory symptoms was also significantly associated with mother’s birth complication [OR = 1.51; 95% CI, 1.36–1.67], non-government organization (NGO) membership of mothers [OR = 1.32; 95% CI, 1.16–1.51], age of the child (6–23m) [OR = 1.29; 95% CI, 1.10–1.52], and nutritional status (stunting) [OR = 1.18; 95% CI, 1.06–1.31].ConclusionThis study found the use of in-house biomass fuel as a significant risk factor associated with respiratory symptoms of children under 5 years of age. More longitudinal studies should be designed to establish a causal relationship between HAP (household air pollution) and respiratory symptoms among children with more direct measures of HAP and clinical procedure.

Why the waste? A large-scale study on the causes of food waste at school canteens

Abstract Several studies have recalled the need to reduce food waste across all the stages of the food supply chain. To undertake effective intervention strategies for food waste prevention and reduction, it is important to better understand the main causes of this phenomenon. In this study, a wide range of factors potentially related to food waste generation in primary school canteens were analysed. The data was obtained from a large-scale study carried out involving 78 Italian primary schools, where the food waste occurring at lunchtime was measured on 11,518 diners, for a total of almost 110,000 meals. The assessment included the quantification of prepared food, plate leftovers and non-served food, which were all weighed with an electronic scale and measured separately for each meal course. The food rejected by diners and the quantity of food remaining unserved at the end of the lunch were studied against a set of potential factors, including the location and size of the school, the location of the kitchen, the type of menu provided to diners, the quantity of food prepared and served. Findings obtained through the analyses of the single variables show that most of the variables have a role in influencing the quantity of food that remains non-consumed. Multivariate models were used to assess the relative importance of the factors over the quantity of food waste. The foodservice provider emerges as the most significant factor in influencing the generation of food waste at schools; other relevant factors are the amount of food prepared and the serving size, the kitchen location, the food provided for the mid-morning break, the menu composition and the geographical area.

Effects of Legal Regulation on Indoor Air Quality in Facilities for Sensitive Populations - A Field Study in Seoul, Korea.

Facilities for sensitive populations have increased in Korea; and its indoor air quality (IAQ) was strictly regulated by the Korean government compared to other facilities. However, merely public facilities on certain level of total floor area were lawfully regulated. This study aims to characterize the indoor environment at facilities for sensitive populations in Korea and investigate the effects of legal regulation on IAQ throughout the duration of 1 year. Sixty facilities for sensitive populations were investigated. Particulate matter (PM10), nitrogen dioxide (NO2), carbon dioxide (CO2), carbon monoxide (CO), total bacteria count (TBC), total volatile organic compound (TVOC), formaldehyde (HCHO), radon (Rn), ozone (O3), asbestos, fine particulate matter (PM2.5), and volatile organic compounds (VOCs) were target pollutants. As a result, none of the rooms' concentration of CO, NO2, O3, Rn, asbestos, and VOCs exceeded the Korean Standard of Indoor Air Quality, while some rooms' concentration of other pollutants exceeded the KSIAQ. Statutory facilities had lower indoor pollutant concentrations and exceedance rates due to efficient ventilation system and the lack of kitchen location within the building, as opposed to non-statutory facilities. In addition, the VOCs had significant differences depending on the number of years it took for the building to be constructed. To reduce the indoor pollutants concentrations, efficient ventilation systems should be installed while controlling the main sources of pollutants. In addition, construction and remodeling using eco-friendly materials should be considered. The standards of IAQ for small size facilities should be included in the KSIAQ in the future.

Variations in perinatal mortality associated with different polluting fuel types and kitchen location in Bangladesh.

This study examines the association between household air pollution from use of polluting cooking fuels and perinatal mortality in Bangladesh. We analysed the data from the Bangladesh Demographic and Health Surveys (BDHS) 2004, 2007, 2011, and 2014. The two outcome variables were stillbirth and early neonatal mortality. The exposure variable was type of primary cooking fuel used in the household (clean vs. polluting). Bivariate and multivariable analyses were conducted to obtain the crude and adjusted odds ratio (aOR), respectively. In the adjusted model, the exposure to polluting fuels was associated with early neonatal mortality (aOR: 1.46, 95% confidence interval [CI]: 1.01-2.10), but not with stillbirth (aOR: 1.25, 95% CI: 0.85-1.84). The effect of cooking with agricultural crop waste was greater for stillbirth (aOR: 1.76, 95% CI: 1.10-2.80) and for early neonatal mortality (aOR: 1.78, 95% CI: 1.13-2.80) which was also associated with wood as the main fuel (aOR: 1.52, 95% CI: 1.04-2.21). Using polluting fuels in an indoor kitchen was associated with an increased odds of stillbirth (aOR: 4.12, 95% CI: 1.49-11.41). Cooking with polluting fuels is associated with perinatal mortality. The combined association of polluting cooking fuels and indoor kitchen location was greater for stillbirth. This effect and the effect of different fuel types need further investigation. Although this is a large sample, there are some limitations with the BDHS data in both recording the exposure and the outcomes. A large prospective trial is needed to determine the precise effect size.

Assessment of Risk Determinants of Sustainable Food Safety Status in Food Court

The status of food safety at a food court in Bangalore city was studied through risk determinants which defined the relationship between prerequisites (PRP), operational prerequisites (OPRP) and critical control point (CCP). Six Food Business Operators (FBO) were identified and data collected through visual observation and verification of the flow of operations. The tools used were questionnaires which were developed based on FSSAI guidelines. These questionnaires assessed kitchen location and design, status of equipment and facilities, critical control points, sanitation and personal hygiene using an ordinal scale of four for rating. The results indicated that the PRP and OPRP of the FBOs had 50% compliance in location and &amp;lt;50% compliance in design, layout, equipment, facilities, control of operations, sanitation and personnel hygiene. Lack of facilities in all 6 FBOs like drain, hand wash and space constraint with a score of 43% affected the CCPs of kitchen and personnel hygiene. The facilities like potable water, drainage, sewage disposal, ventilation and lighting had 51% compliance. Personnel hygiene, cross contamination of food, the operational area and food handling methods had least score of 38.75%. The storage had a low score (47.5%) due to space constraint leading to overload of food in operations, freezers and refrigerator without proper segregation. The low scores of 40% compliance in traceability of incoming raw material increased the risk. Pest control and waste management was very poor. Health status of the personnel was not assessed and they were not trained in food safety. A sustainable system of food safety requires PRP, OPRP and CCP design in accordance with the business. The FBOs were unaware of the importance of food safety and the potential risk of serving unsafe food to customers emphasizing the need for training.

Kerosene lighting contributes to household air pollution in rural Uganda.

The literature on the contribution of kerosene lighting to indoor air particulate concentrations is sparse. In rural Uganda, kitchens are almost universally located outside the main home, and kerosene is often used for lighting. In this study, we obtained longitudinal measures of particulate matter 2.5 microns or smaller in size (PM2.5 ) from living rooms and kitchens of 88 households in rural Uganda. Linear mixed-effects models with a random intercept for household were used to test the hypotheses that primary reported lighting source and kitchen location (indoor vs outdoor) are associated with PM2.5 levels. During initial testing, households reported using the following sources of lighting: open-wick kerosene (19.3%), hurricane kerosene (45.5%), battery-powered (33.0%), and solar (1.1%) lamps. During follow-up testing, these proportions changed to 29.5%, 35.2%, 18.2%, and 9.1%, respectively. Average ambient, living room, and kitchen PM2.5 levels were 20.2, 35.2, and 270.0μg/m3 . Living rooms using open-wick kerosene lamps had the highest PM2.5 levels (55.3μg/m3 ) compared to those using solar lighting (19.4μg/m3 ; open wick vs solar, P=.01); 27.6% of homes using open-wick kerosene lamps met World Health Organization indoor air quality standards compared to 75.0% in homes using solar lighting.

Household air pollution from use of cooking fuel and under-five mortality: The role of breastfeeding status and kitchen location in Pakistan.

Household air pollution (HAP) mainly from cooking fuel is one of the major causes of respiratory illness and deaths among young children in low and middle-income countries like Pakistan. This study investigates for the first time the association between HAP from cooking fuel and under-five mortality using the 2013 Pakistan Demographic and Health Survey (PDHS) data. Multi-level logistic regression models were used to examine the association between HAP and under-five mortality in a total of 11,507 living children across four age-groups (neonatal aged 0–28 days, post-neonatal aged 1–11 months, child aged 12–59 months and under-five aged 0–59 months). Use of cooking fuel was weakly associated with total under-five mortality (OR = 1.22, 95%CI = 0.92–1.64, P = 0.170), with stronger associations evident for sub-group analyses of children aged 12–59 months (OR = 1.98, 95%CI = 0.75–5.25, P = 0.169). Strong associations between use of cooking fuel and mortality were evident (ORs >5) in those aged 12–59 months for households without a separate kitchen using polluting fuels, and in children whose mother never breastfed. The results of this study suggest that HAP from cooking fuel is associated with a modest increase in the risk of death among children under five years of age in Pakistan, but particularly in those aged 12–59 months, and those living in poorer socioeconomic conditions. To reduce exposure to cooking fuel which is a preventable determinant of under-five mortality in Pakistan, the challenge remains to promote behavioural interventions such as breastfeeding in infancy period, keeping young children away from the cooking area, and improvements in housing and kitchen design.

Cooking smoke and respiratory symptoms of restaurant workers in Thailand

BackgroundRestaurant workers are at risk from exposure to toxic compounds from burning of fuel and fumes from cooking. However, the literature is almost silent on the issue. What discussion that can be found in the literature focuses on the potential effects from biomass smoke exposure in the home kitchen, and does not address the problem as occurring in the workplace, particularly in restaurants.MethodsThis was a cross-sectional survey of 224 worker from 142 food restaurants in the Tha Pho sub-district of Phitsanulok, a province in Thailand. The standard questionnaire from the British Medical Research Council was used to collect data on chronic respiratory symptoms, including cough, phlegm, dyspnea, severe dyspnea, stuffy nose in the participating workers. Data on their health symptoms experienced in the past 30 days was also asked. A constructed questionnaire was used to collect exposure data, including type of job, time in the kitchen, the frequency of frying food, tears while cooking (TWC), the type of restaurant, fuel used for cooking, the size and location of the kitchen, and the exhaust system and ventilation. The prevalence of the symptoms was compared with those obtained from 395 controls, who were neighbors of the participants who do not work in a restaurant.ResultsIn comparison to the control group, the restaurant workers had twice or more the prevalence on most of the chronic health symptoms. Men had a higher risk for “dyspnea”, “stuffy nose” and “wheeze” while women had higher risk of “cough”. A Rate Ratio (RR) of susceptibility was established, which ranged from 1.4 up to 9.9. The minimum RR was for women with “severe dyspnea” (RR of 1.4, 95%CI 0.8, 2.5) while the men showed the maximum RR of 9.9 (95%CI 4.5–22.0) for “wheeze”. Possible risk factors identified were job description, job period, size of restaurant, kitchen location, type of cooking oil, hours of stay in the kitchen area, number of fry dishes prepared, frequency of occurrence of TWC, and additional cooking at home. Working for 6–10 year increased the risk of “cough” with an Odd Ratio (OR) of 3.19 (P < 0.01) while working for more than 10 years increased the risk of “cough” (OR = 3.27, P < 0.01), “phlegm” (OR = 3.87, P = 0.01) and “wheeze” (OR = 2.38, P = 0.05). Working as a chef had a higher risk of “cough” by 2.33 (P = 0.01) as comparing to other jobs. Workers in a relatively large restaurant using 4 or more stoves had increased risk of “wheeze” with OR of 3.81 (P < 0.01) and “stuffy nose” with OR of 3.56 (P < 0.01). Using vegetable oil increased the risk of “stuffy nose” by 2.94 (P < 0.01). Every 10 h of stay in the kitchen area was associated with a minimal increase in the risk of “cough”, “wheeze” and “symptoms in the past 30 days” by 1.15 (P = 0.02), 1.16 (P = 0.01) and 1.16 (P = 0.02), respectively.ConclusionsRestaurant workers are at risk of respiratory symptoms caused by exposure to toxic compounds from cooking fumes. Job description, job period, size of restaurant, kitchen location, type of cooking oil, hours of stay in the kitchen area, number of fry dishes prepared, frequency of occurrence of TWC, and additional cooking at home were the predictive factors. Workplace Health and Safety protection of restaurant worker is urgently needed and the issue should receive more public attention.

Respiratory symptoms, lung function decrement and chronic obstructive pulmonary disease in pre-menopausal Indian women exposed to biomass smoke

Background: The impact of chronic exposure to smoke from biomass burning on respiratory health has been examined.Methods: Six-hundred and eighty-one non-smoking women (median age 35 years) from eastern India who cook exclusively with biomass (wood, dung and crop residues) and 438 age-matched women from similar neighborhood who cook with liquefied petroleum gas (LPG) were examined. Pulmonary function test was done by spirometry. The concentrations of particulate matter having diameter of < 10 µm (PM10) and < 2.5 µm (PM2.5) in indoor air was measured by real-time aerosol monitor.Results: Compared with LPG users, biomass users had greater prevalence of upper (50.9 versus 28.5%) and lower respiratory symptoms (71.8 versus 30.8%) and dyspnea (58.4 versus 19.9%). They showed reduction in all parameters measured by spirometer especially in mid-expiratory volume. PM10 and PM2.5 concentration in biomass using kitchen were 2–3-times more than LPG-using kitchen, and the decline in spirometry values was positively associated PM10 and PM2.5 levels in indoor air after controlling education, family income and kitchen location as potential confounders. Overall, 29.7% of biomass users and 16.4% of LPG users had deficient lung function, and restrictive type of deficiency was predominant. Chronic obstructive pulmonary disease (COPD) was diagnosed in 4.6% of biomass and 0.9% of LPG users. Women who predominantly used dung cake and did not possess separate kitchen had poorer lung function.Conclusion: Cumulative exposure to biomass smoke causes lung function decrement and facilitates COPD development even in non-smoking and relatively young pre-menopausal women.