Particulate Air Pollution and Impaired Maternal Lung Function in Ndola And Masaiti of Copperbelt Province in Zambia
DOI:
https://doi.org/10.14738/aivp.102.10791Keywords:
Indoor Air Pollution, Lung function test, Particulate Matter, Biomass fuelAbstract
Background
Evidence of association between maternal indoor air pollution (IAP) exposure and impaired lung function (LF) in sub-Saharan Africa (SSA) is insufficient. We assessed association between maternal IAP and impaired LF in Masaiti and Ndola.
Method
The study used questionnaire to collect data (N =1170) and IAP exposure defined as use of biomass fuel indoors and elevated PM2.5 using foobot (China) and LFs using a spirometer (Spirobank G, Italy). Data were analysed using SPSS version 20.
Results
Results indicated an association between fuel use and lung function result. The median (Q1, Q3) PM2.5 before, during and after cooking showed a significant difference (p value <0.001). The median (Q1, Q2) PM2.5 during cooking and daily average were 501(411, 686) µg/m3 and 393 (303,578) µg/m3. Association between PM2.5 and fuel type (p value = 0.005) but no association between PM2.5 and kitchen type (p value = 0.124). Association between fuel type and impaired lung function. Compared with combined fuel types (Charcoal and electricity), crop residue only, gave 2times more likely to have a declined lung function [AOR: 2.33 (1.27 – 4.30] and electricity only, 57% less likely to have declined lung function [AOR: 0.43, 95% CI (0.26 – 0.69)].
Conclusion
Maternal IAP exposure maybe associated with elevated risk of impaired LFs. More research using longitunal studies carefully designed for low income countries is needed. Public awareness of the effects of IAP due to biomass fuels and interventions to reduce the use of biomass fuels are required.
References
WHO (2021), Indoor air pollution: The Health and Environment Linkages Initiative (HELI), WHO.int/heli/risks/ accessed on 19.08.2021
WHO, 2017 HAP. http//www.who.int/indoorair accessed on 21.08. 2021
WHO, ed The World Health Report 2002: Reducing Risks, Promoting Healthy Life. Geneva, World Health Organization, 2002.
World Health Organization, Air Pollution, percentage of population using biomass fuels, Millennium Indicators Database, United Nations, Department of Economic and Social Affairs, Economic and Social Development, Statistics Division. (http://millenniumindicators.un.org/unsd/mimrowld=712)
World energy outlook 2004. Paris, Organization for Economic Co-operation and Development/International Energy Agency, 2004
Piddock KC, Gordon SB, Ngwira A, Msukwa M, Nadeau G, Davis KJ, Nyirenda MJ, Mortimer K. A cross-sectional study of household biomass fuel use among a periurban population in Malawi. Ann Am Thorac Soc. 2014;11(6): 908–14.
Desai MA, Mehta S, Smith KR. Indoor smoke from solid fuels: Assessing the environmental burden of disease at national and local levels. Environ Burd Dis Ser. 2004;4:82.
Muyanja D, Allen JG, Vallarino J, Valeri L, Kakuhikire B, Bangsberg DR, Christiani DC, ACT and PSL. Kerosene lighting contributes to household air pollution in rural Uganda. HHS Public Access. 2017;47(3):549–62
Bickton FM, Ndeketa L, Sibande GT, Nkeramahame J, Payesa C and Milanz EB. Household air pollution and under-five mortality in sub-Saharan Africa: an analysis of 14 demographic and health surveys Environmental Health and Preventive Medicine, 25, 67(2020)
World Health Organisation, Air quality Guidelines, Global update 2005.
Rumchev K, Spickett JT, Brown HL, et al. Indoor air pollution from biomass combustion and respiratory symptoms of women and children in a Zimbabwean village. Indoor Air 2007;17:468–74.
Ezzati M, Kammen D. Indoor air pollution from biomass combustion and acute respiratory infections in Kenya: an exposure-response study. Lancet 2001;358:619–24
Kurmi OP, Semple S, Steiner M, et al. Particulate matter exposure during domestic work in Nepal. Ann Occup Hyg 2008;52:509–17
Hulin M, Simonic M, Viegic G, Annesi-Maesano I. Respiratory health and indoor air pollutants based on quantitative exposure assessments. ERJ Express2012; page 1-28 466
Romieu I, Riojas-Rodriguez H, Marron-Mares AT,Schilmann A, Perez-Padilla R, Masera O. Improved biomass stove intervention in rural Mexico: impact on the respiratory health of women. Int J RespirCrit Care Med 2009;180:649–56
Domininici F, Peng R, Bell M, Pham L, Mcdermott A, Zeger S, Samet J. Fine particulate air pollution and hospital admission for cardiovascular and respiratory diseases. JAMA 2006; 295(10):1127-1134.
Kumar R, Nagar JK, Goel N, Kumar P, Kushwah AS, Gaur SN. Indoor air pollution and asthma in children at Delhi, India. Pneumonol Alergol Pol 2015;83:275–82
Tielssch JM, katz J, Zeger SL, Khatry SK, Shrestha L, Breysse P, Checkley W, Mullany LC, LeClerq SC. 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. BMC Public Health 2014, 14:1271
Kumar R, Singh K, Nagar S, Kumar M, Mehto UK, Rai G and Gupta N, Pollutant levels at Cooking place and Their Association with Respiratory Symptoms in Women in a Rural Area of Delhi-NRR. Indian J Chest Dis Allied Sci 2015;57:225-231
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