Indoor Charcoal Smoke and Acute Respiratory Infections in Young Children in the Dominican Republic

Details

• Personal Author:
  Baumgartner J ; Bautista LE ; Breysse P ; Correa A ; Matanoski G
• Description:
  The authors investigated the effect of charcoal smoke exposure on risks of acute upper and lower respiratory infection (AURI and ALRI) among children under age 18 months in Santo Domingo, Dominican Republic (1991-1992). Children living in households using charcoal for cooking (exposed, n = 201) were age-matched to children living in households using propane gas (nonexposed, n = 214) and were followed for 1 year or until 2 years of age. Fuel use and new episodes of AURI and ALRI were ascertained biweekly through interviews and medical examinations. Household indoor-air concentration of respirable particulate matter (RPM) was measured in a sample of follow-up visits. Incidences of AURI and ALRI were 4.4 and 1.4 episodes/child-year, respectively. After adjustment for other risk factors, exposed children had no significant increase in risk of AURI but were 1.56 times (95% confidence interval: 1.23, 1.97) more likely to develop ALRI. RPM concentrations were higher in charcoal-using households (27.9 microg/m3 vs. 17.6 microg/m3), and ALRI risk increased with RPM exposure (10-microg/m3 increment: odds ratio = 1.17, 95% confidence interval: 1.02, 1.34). Exposure to charcoal smoke increases the risk of ALRI in young children, an effect that is probably mediated by RPM. Reducing charcoal smoke exposure may lower the burden of ALRI among children in this population. [Description provided by NIOSH]
• Subjects:
  Air Pollution Air Pollution, Indoor Occupational Health Particulate Matter Respiratory Tract Diseases Safety
• Keywords:
  Air Pollution Author Keywords: Indoor Air Pollution Biomass Charcoal Children Cooking Equipment Dominican Republic IAQ Indoor Air Quality Particulate Matter Particulates Respiratory System Disorders Respiratory Tract Infections Smoke Smoke Inhalation Wood

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• ISSN:
  0002-9262
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Georgia ; Maryland ; OSHA Region 3 ; OSHA Region 4 ; OSHA Region 5 ; Wisconsin
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  169
• Issue:
  5
• NIOSHTIC Number:
  nn:20062770
• Citation:
  Am J Epidemiol 2009 Mar; 169(5):572-580
• Contact Point Address:
  Dr. Leonelo E. Bautista, School of Medicine and Public Health, University of Wisconsin-Madison, 703 Wisconsin Alumni Research Foundation, 610 Walnut Street, Madison, WI 53726
• Email:
  lebautista@wisc.edu
• CAS Registry Number:
  Cadmium (CAS RN 7440-43-9) ; Lead (CAS RN 7439-92-1)
• Federal Fiscal Year:
  2009
• Performing Organization:
  Johns Hopkins University
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  American Journal of Epidemiology
• End Date:
  20280630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:8f118423d2e6c369ac6ec1aebee8c90abb0cbc7b86de48b8a577ae3ed0cc3e93349bff70390068693c57d7bf577a8c55051a36798b82b8127034016bb036029d
• Download URL:
  https://stacks.cdc.gov/view/cdc/225960/cdc_225960_DS1.pdf
• File Type:
  [PDF - 140.44 KB ]