Traditional and Improved Stove Use on Household Air Pollution and Personal Exposures in Rural Western Kenya

Details

• Alternative Title:
  Environ Int
• Personal Author:
  Yip, Fuyuen ; Christensen, Bryan ; Sircar, Kanta ; Naeher, Luke ; Bruce, Nigel ; Pennise, David ; Lozier, Matthew ; Pilishvili, Tamara ; Loo, Jennifer ; Stanistreet, Debbi ; Nyagol, Ronald ; Muoki, Justus ; de Beer, Lindsey ; Sage, Michael ; Kapil, Vikas
• Description:
  Background
  
  Over 40% of the world's population rely on solid fuels for heating and cooking. Use of improved biomass cookstoves (ICS) has the potential to reduce household air pollution (HAP).
  
  Objectives
  
  As part of an evaluation to identify ICS for use in Kenya, we collected indoor air and personal air samples to assess differences between traditional cookstoves (TCS) and ICS.
  
  Methods
  
  We conducted a cross-over study in 2012 in two Kenyan villages; up to six different ICS were installed in 45 households during six two-week periods. Forty-eight hour kitchen measurements of fine particulate matter (PM2.5) and carbon monoxide (CO) were collected for the TCS and ICS. Concurrent personal CO measurements were conducted on the mother and one child. We performed descriptive analysis and compared paired measurements between baseline (TCS only) and each ICS.
  
  Results
  
  The geometric mean of 48-hour baseline PM2.5 and CO concentrations in the kitchen was 586 μg/m3 (95% CI: 460, 747) and 4.9 ppm (95% CI: 4.3, 5.5), respectively. For each ICS, the geometric mean kitchen air pollutant concentration was lower than the TCS: median reductions were 38.8% (95% CI: 29.5, 45.2) for PM2.5 and 27.1% (95% CI: 17.4, 40.3) for CO, with statistically significant relationships for four ICS. We also observed a reduction in personal exposures with ICS use.
  
  Conclusions
  
  We observed a reduction in mean 48-hour PM2.5 and CO concentrations compared to the TCS; however, concentrations for both pollutants were still consistently higher than WHO Guidelines. Our findings illustrate that ICS tested in real-world settings can reduce exposures to HAP, but implementation of cleaner fuels and related stove technologies may also be necessary to optimize public health benefits.
  
  
• Subjects:
  Adolescent Adult Air Pollutants Air Pollution, Indoor Carbon Monoxide Child, Preschool Cooking Cross-Over Studies Environmental Exposure Female Household Articles Humans Infant Infant, Newborn Kenya Middle Aged Particle Size Particulate Matter Rural Population Young Adult

  More +
• Keywords:
  Carbon Monoxide Cookstove Household Air Pollution Particulate Matter
• Source:
  Environ Int. 99:185-191
• Pubmed ID:
  27923586
• Pubmed Central ID:
  PMC5538771
• Document Type:
  Journal Article
• Funding:
  CC999999/Intramural CDC HHSUnited States/ ; U38 HM000520/HM/NCHM CDC HHSUnited States/
• Place as Subject:
  Kenya
• Volume:
  99
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:1cbcff65b6b092a449876dc5cdda5eb811267495304b4856b152cfd9fbbb2796
• Download URL:
  https://stacks.cdc.gov/view/cdc/47225/cdc_47225_DS1.pdf
• File Type:
  [PDF - 497.05 KB ]