Indoor air pollution in developing nations
Encyclopedia
Indoor air pollution in developing nations is a significant form of indoor air pollution
Indoor air quality
Indoor air quality is a term referring to the air quality within and around buildings and structures, especially as it relates to the health and comfort of building occupants....

 (IAP) that is little known to those in the developed world.

Three billion people in developing nations across the globe rely on biomass
Biomass
Biomass, as a renewable energy source, is biological material from living, or recently living organisms. As an energy source, biomass can either be used directly, or converted into other energy products such as biofuel....

, in the form of wood
Wood
Wood is a hard, fibrous tissue found in many trees. It has been used for hundreds of thousands of years for both fuel and as a construction material. It is an organic material, a natural composite of cellulose fibers embedded in a matrix of lignin which resists compression...

, charcoal
Charcoal
Charcoal is the dark grey residue consisting of carbon, and any remaining ash, obtained by removing water and other volatile constituents from animal and vegetation substances. Charcoal is usually produced by slow pyrolysis, the heating of wood or other substances in the absence of oxygen...

, dung, and crop residue, as their domestic cooking fuel. Because much of the cooking is carried out indoors in environments that lack proper ventilation, millions of people, primarily poor women and children face serious health risks. Conservative estimates indicate that between 1.5 and 2 million deaths were attributed to exposure to IAP in developing countries in 2000.
Estimates further suggest that approximately 80% of total global exposure to airborne particulate matter occurs indoors in developing nations.

Even though the rate of dependence on biomass fuel is declining, this dwindling resource will not keep up with population growth which could ultimately put environments at even greater risk. In Kenya
Kenya
Kenya , officially known as the Republic of Kenya, is a country in East Africa that lies on the equator, with the Indian Ocean to its south-east...

, efforts are currently being made to address the overall health risks to rural women and children.

Health implications

Rural Kenya has been the site of various applied research projects to determine the intensity of emissions that commonly occur from use of biomass fuels, particularly wood, dung, and crop residue. Smoke
Smoke
Smoke is a collection of airborne solid and liquid particulates and gases emitted when a material undergoes combustion or pyrolysis, together with the quantity of air that is entrained or otherwise mixed into the mass. It is commonly an unwanted by-product of fires , but may also be used for pest...

 is the result of the incomplete combustion
Combustion
Combustion or burning is the sequence of exothermic chemical reactions between a fuel and an oxidant accompanied by the production of heat and conversion of chemical species. The release of heat can result in the production of light in the form of either glowing or a flame...

 of solid fuel
Solid fuel
Solid fuel refers to various types of solid material that are used as fuel to produce energy and provide heating, usually released through combustion....

 which women and children are exposed to up to seven hours each day in closed environments.
These emissions vary from day to day, season to season and with changes in the amount of airflow within the residence. Exposure in poor homes far exceeds accepted safety levels by as much as one hundred times over. Because many Kenyan women utilize a three-stone fire, the worst offender, one kilogram of burning wood produces tiny particles of soot which can clog and irritate the bronchial pathways. The smoke also contains various poisonous gases such as aldehydes, benzene
Benzene
Benzene is an organic chemical compound. It is composed of 6 carbon atoms in a ring, with 1 hydrogen atom attached to each carbon atom, with the molecular formula C6H6....

, and carbon monoxide
Carbon monoxide
Carbon monoxide , also called carbonous oxide, is a colorless, odorless, and tasteless gas that is slightly lighter than air. It is highly toxic to humans and animals in higher quantities, although it is also produced in normal animal metabolism in low quantities, and is thought to have some normal...

. Exposure to IAP from combustion of solid fuels has been implicated, with varying degrees of evidence, as a causal agent of several diseases. Acute lower respiratory infections (ALRI) and chronic obstructive pulmonary disease
Chronic obstructive pulmonary disease
Chronic obstructive pulmonary disease , also known as chronic obstructive lung disease , chronic obstructive airway disease , chronic airflow limitation and chronic obstructive respiratory disease , is the co-occurrence of chronic bronchitis and emphysema, a pair of commonly co-existing diseases...

 (COPD) are the leading causes of disease and death from exposure to smoke. Cataracts and blindness
Blindness
Blindness is the condition of lacking visual perception due to physiological or neurological factors.Various scales have been developed to describe the extent of vision loss and define blindness...

, lung cancer
Lung cancer
Lung cancer is a disease characterized by uncontrolled cell growth in tissues of the lung. If left untreated, this growth can spread beyond the lung in a process called metastasis into nearby tissue and, eventually, into other parts of the body. Most cancers that start in lung, known as primary...

, tuberculosis
Tuberculosis
Tuberculosis, MTB, or TB is a common, and in many cases lethal, infectious disease caused by various strains of mycobacteria, usually Mycobacterium tuberculosis. Tuberculosis usually attacks the lungs but can also affect other parts of the body...

, premature births and low birth weight are also suspected of being caused by IAP.

Women and primarily girls spend excess time each day in collecting fuel-wood in Kenya which exposes them to even further hazards including vulnerability to rape
Rape
Rape is a type of sexual assault usually involving sexual intercourse, which is initiated by one or more persons against another person without that person's consent. The act may be carried out by physical force, coercion, abuse of authority or with a person who is incapable of valid consent. The...

 and also fractures from the weight of carrying heavy loads. This time could be spent in more productive ways such as attending school or income production. The use of biomass coupled with inefficient cooking apparatus leads to a web of social and environmental concerns which directly links to the United Nations Millennium Development Goals.

Interventions

Early interventions

Unfortunately, finding an affordable solution to address the many effects of IAP – improving combustion, reducing smoke exposure, improving safety and reducing labor, reducing fuel costs, and addressing sustainability – is complex and in need of continual improvement. Efforts to improve cook stoves in the past, beginning in the 1950s, were primarily aimed at minimizing deforestation
Deforestation
Deforestation is the removal of a forest or stand of trees where the land is thereafter converted to a nonforest use. Examples of deforestation include conversion of forestland to farms, ranches, or urban use....

 with no concern for IAP, though the effectiveness of these efforts to save firewood is debatable. Various attempts had various outcomes. For example, some improved stove designs in Kenya significantly reduced particulate emissions but produced higher CO2
Carbon dioxide
Carbon dioxide is a naturally occurring chemical compound composed of two oxygen atoms covalently bonded to a single carbon atom...

 and SO2
Sulfur dioxide
Sulfur dioxide is the chemical compound with the formula . It is released by volcanoes and in various industrial processes. Since coal and petroleum often contain sulfur compounds, their combustion generates sulfur dioxide unless the sulfur compounds are removed before burning the fuel...

 emissions. Flues to remove smoke were difficult to design and were fragile.

Improved Success

Current improved interventions however, include smoke hoods which operate in much the same manner as flues, to extract smoke, but are found to reduce levels of IAP more effectively than homes that relied solely on windows for ventilation.
Some features of newly improved stoves include a chimney, enclosing the fire to retain heat, designing a pot holder to maximize heat transfer, dampers to control air flow, a ceramic insert to reduce heat loss, and multi-pot systems to allow for cooking multiple dishes.

Stoves are now known to be one of the least-cost means to achieve the combined objective of reducing the health burden of IAP and in some areas reducing environmental stress from biomass harvesting. Some success in installation of interventions, including improved cook stoves, has been achieved primarily due to an interdisciplinary approach which includes multiple stakeholders. These projects have discovered that key socio-economic issues must be addressed to ensure the success of intervention programs. A multitude of complex issues indicate improved stoves are not merely a tool to save fuel.

Successful Interventions

The following information represents one successful intervention known as the Kenya Smoke and Health Project (1998–2001) which involved fifty rural households in two separate regions, Kajiado
Kajiado
Kajiado is a town in the Rift Valley Province, Kenya. The town is located south of Nairobi, along the Nairobi – Arusha highway. Kajiado has an urban population of 8128 . Local people are predominantly of the Maasai tribe....

 and West Kenya. These areas were chosen due to different climate, geographic, and cultural implications. Community participation was the primary focus for this project and as a result, those involved indicated the results far exceeded their expectations. Local women’s groups and, in the case of the project in West Kenya, men were actively involved. By involving the end-users the project resulted in more widespread acceptance and created the further benefit of providing local income.

Three key interventions were discussed and disseminated; ventilation by enlarging windows or opening eaves spaces, adding smoke hoods over the cooking area, or the option of installing an improved cook stove such as the Upesi stove. Smoke hoods are free-standing units that act like flues or chimneys in their effort to draw smoke out of the dwelling. They can be used over traditional open fires and this study showed they contribute to considerably lower levels of IAP. The smoke hood models were made with hard manila paper and then transferred to heavy-gauge galvanized sheet metal and manufactured locally. This resulted in further employment opportunities for the artisans who were trained by the project. The Upesi stove, made of clay and kiln-fired, was developed by Practical Action
Practical Action
Practical Action is a development charity registered in the United Kingdom which works directly in four regions of the developing world – Latin America, East Africa, Southern Africa and South Asia, with particular concentration on Peru, Kenya, Sudan, Zimbabwe, Sri Lanka and Nepal.In these countries,...

 and East African partners to utilize wood and agricultural wastes. Because this stove was designed and adapted for local needs it produced several winning features. Not only does it cut the use of fuel-wood by approximately half, and reduce exposure to household smoke, it also empowers local women by creating employment as they are the ones who make and market the stoves. These women’s groups gain access to technical training in production and marketing and enjoy higher wage earnings and improved social status
Social status
In sociology or anthropology, social status is the honor or prestige attached to one's position in society . It may also refer to a rank or position that one holds in a group, for example son or daughter, playmate, pupil, etc....

 as a result of the introduction of this improved stove.

Various benefits were realized including improved health; the most important aspect to each of the villagers involved. The people reported less internal heat allowing for better sleep, fewer headaches and less fatigue, less eye irritation and coughs and dizziness
Dizziness
Dizziness refers to an impairment in spatial perception and stability. The term is somewhat imprecise. It can be used to mean vertigo, presyncope, disequilibrium, or a non-specific feeling such as giddiness or foolishness....

. Safety increased due to the smoke hoods preventing goats and children from falling into the fire and less soot
Soot
Soot is a general term that refers to impure carbon particles resulting from the incomplete combustion of a hydrocarbon. It is more properly restricted to the product of the gas-phase combustion process but is commonly extended to include the residual pyrolyzed fuel particles such as cenospheres,...

 contamination was observed, along with snakes and rodents not entering the home. Windows allowed for the ability to view cattle from indoors, and also reduced kerosene
Kerosene
Kerosene, sometimes spelled kerosine in scientific and industrial usage, also known as paraffin or paraffin oil in the United Kingdom, Hong Kong, Ireland and South Africa, is a combustible hydrocarbon liquid. The name is derived from Greek keros...

 needs due to improved interior lighting. Overall, the indoor environment improved greatly from various simple things that are taken for granted in modern western homes. Greater indoor light also allows for more income generation for women as they can do beadwork by the window when weather doesn’t allow for this work outdoors. Children also benefit from increased lighting for homework.

Interpersonal relationships developed among the women due to the project, and men better supported their wives initiative when the end result benefited them as well. While initial efforts to improve stoves were limited in success, current efforts are more successful due to the recognition that sustainable domestic energy resources are “central to reducing poverty and hunger, improving health…and improving the lives of women and children” The optimal short-term goal in minimizing rural poverty is to provide inexpensive and acceptable solutions to the local people. Not only can stoves contribute to this intervention, but the use of cleaner fuels will also provide further benefits.

Similar improved-stove projects have proven successful in other regions of the world. Improved stoves installed as part of the Randomized Exposure Study of Pollution Indoors and Respiratory Effects (RESPIRE) study in Guatemala were found to be acceptable to the population and produce significant health benefits for both mothers and children. Mothers in the intervention group had lower blood pressure and reductions in eye discomfort and back pain. Intervention households were also found to have lower levels of small particles and carbon monoxide. Children in these households also had lower rates of asthma. This initial pilot program has evolved into CRECER (Chronic Respiratory Effects of Early Childhood Exposure to Respirable Particulate Matter), which will attempt to follow children in intervention households for a longer period of time to determine whether the improved stoves also contribute to greater health over the lifespan.

The National Program on Improved Chulhas in India has also had some success in encouraging the use of improved stoves among at-risk populations. Begun in the mid-1980s, this program provides subsidies to encourage families to purchase the longer-lasting chulhas and have a chimney installed. A 2005 study showed that stoves with chimneys are associated with a lower incidence of cataracts in women. Much of the available information from India is more of a characterization of the issue and there is less data available from intervention trials.

China has been particularly successful at encouraging the use of improved stoves, with hundreds of millions of stoves installed since the beginning of the project in the early 1980s. The government very intentionally targeted poorer, rural households, and by the late 1990s nearly 75% of such households contained “improved kitchens.” A 2007 review of 3500 households showed an improvement in indoor air quality in intervention households characterized by lower concentrations of small particles and carbon monoxide in household air. The program in China involved intervention on a large scale, but the cost of stoves was heavily subsidized so it is not known if its success could be replicated.

Environmental Impacts

Mortality and burden of disease are not the only detrimental effects from utilizing inefficient energy technology such as the combustion of biomass. Kenya’s pre-dominant energy source is biomass, providing more than 90 per cent of rural household energy needs, about one-third in the form of charcoal and the rest from firewood. Biomass energy sourced primarily from savannah
Savannah
Savannah or savanna is a type of grassland.It can also mean:-People:* Savannah King, a Canadian freestyle swimmer* Savannah Outen, a singer who gained popularity on You Tube...

 woodlands includes firewood for inhabitants and charcoal for urban use. A small percentage is sourced by neighboring communities from closed and protected forests which are generally found in high population density areas. While biomass harvesting in sensitive areas is problematic, it is now determined that the great majority of biomass clearing is due to agricultural expansion and land conversion. Approximately 38% of households 'in high agro-ecological zones' utilize agricultural waste due to frequent shortages of conventional fuel-wood. Use of crop residue and animal waste for domestic energy has detrimental results on soil quality
Soil quality
The proposed a definition, stating that ' is an account of the soil’s ability to provide ecosystem and social services through its capacities to perform its functions under changing conditions...

 and agricultural and livestock productivity. These materials are ultimately not available as soil conditioners, organic fertilizer
Organic fertilizer
Organic fertilizers are naturally occurring fertilizers .Naturally occurring organic fertilizers include manure, slurry, worm castings, peat, seaweed, humic acid, and guano. Sewage sludge use in organic agricultural operations in the U.S...

, and livestock fodder
Fodder
Fodder or animal feed is any agricultural foodstuff used specifically to feed domesticated livestock such as cattle, goats, sheep, horses, chickens and pigs. Most animal feed is from plants but some is of animal origin...

, not to mention the “cumulative effects on national food security”.

Most farmers are aware however, that when agricultural waste and dung are not used for energy, they are important elements to maintaining soil fertility. One of the most efficient ways to utilize crop waste and dung for domestic energy is to produce briquettes. The process of compacting the material into a donut shape creates more efficient combustion which contributes to reduced emission levels. A simple device allows for this process and it can be done locally.

Sustainable options

Large-scale combustion of biomass is only feasible if carried out in a sustainable manner. Concern is paramount for regeneration of renewable and sustainable fuel-wood sources if it is to continue to be available long-term. Attempts at sustainable solutions in Kenya could include developing energy crops (trees and shrubs) which would also provide additional income for farmers. This solution would benefit cropland or rangeland prone to erosion
Erosion
Erosion is when materials are removed from the surface and changed into something else. It only works by hydraulic actions and transport of solids in the natural environment, and leads to the deposition of these materials elsewhere...

 and flooding as the root systems and leaf litter would enhance soil stability. Careful selection of regenerating varieties would be most sustainable because soil stability is not disrupted due to tilling and planting. Some people view this solution as a way to further exploit forests, but with proper management of forest resources this could be a viable solution.

Solar cooking is a sustainable option for reducing the use of biomass as fuel and thereby contribute to the reduction of IAP. For an example of a solar cooker that can bake, boil, fry or roast, see the Phaeton solar array. Kyoto Twist, an international aid organization has published an excellent case study where two Cookit solar cookers saved families of 6 people 2000 pounds of wood in a year.

Challenges

Widespread education and government funding will also be necessary to shift cultural practices to more sustainable energy use. For example, in an area in South Africa, even though access to electricity was available, many residents continued to use biomass fuels for cooking and heating due to cost of electrical appliances and cultural practices. Liquid petroleum gas (LPG), which has nearly 100% combustion and negligible emissions unfortunately is currently not cost effective. The use of solar power
Solar power
Solar energy, radiant light and heat from the sun, has been harnessed by humans since ancient times using a range of ever-evolving technologies. Solar radiation, along with secondary solar-powered resources such as wind and wave power, hydroelectricity and biomass, account for most of the available...

, such as solar cookers, has drawbacks in practical use because they must be used outdoors, and they are slow and do not work in the evening or on cloudy days.

Education interventions

Educational intervention can contribute to reducing exposure to smoke by developing a social marketing
Social marketing
Social marketing is the systematic application of marketing, along with other concepts and techniques, to achieve specific behavioral goals for a social good. Social marketing can be applied to promote merit goods, or to make a society avoid demerit goods and thus to promote society's well being as...

 effort in alerting people to the dangers and encouraging a willingness to alter living and cultural practices which could have a significant impact on mitigating exposure to IAP. These interventions “must be based on felt needs…” with emphasis and sensitivity to gender issues. Evidence of one successful government intervention was revealed by China who, between 1980 and 1995, disseminated 172 million improved cookstoves. This effort proved more successful due to the inclusion of local users, particularly women, who were involved in the design and fieldwork process.

Primary Intervention for Children

Children up to five years of age spend 90% of their time at home . Globally, 50% of pneumonia deaths among children under five years of age are due to particulate matter inhaled from indoor air pollution . Many homes around the world used solid fuels for cooking. These fuels release large amounts of carbon monoxide and fine particulate matter . These chemical irritants when inhaled may cause different pulmonary conditions ranging from pulmonary epithelial cancer or acute pulmonary tract infection .

Kenya and modern energy

As of 2004, Kenya has shown a willingness to undertake biomass energy issues with the understanding that consumption is associated with indoor air pollution and environmental degradation. Suggestions from the United Nations Development Programme
United Nations Development Programme
The United Nations Development Programme is the United Nations' global development network. It advocates for change and connects countries to knowledge, experience and resources to help people build a better life. UNDP operates in 177 countries, working with nations on their own solutions to...

 include establishing an institution that will deal exclusively with biomass energy by developing policy
Policy
A policy is typically described as a principle or rule to guide decisions and achieve rational outcome. The term is not normally used to denote what is actually done, this is normally referred to as either procedure or protocol...

 guidelines on sustainable firewood, charcoal, and modern biomass such as cleaner fuels and wind
Wind
Wind is the flow of gases on a large scale. On Earth, wind consists of the bulk movement of air. In outer space, solar wind is the movement of gases or charged particles from the sun through space, while planetary wind is the outgassing of light chemical elements from a planet's atmosphere into space...

, solar
Solar power
Solar energy, radiant light and heat from the sun, has been harnessed by humans since ancient times using a range of ever-evolving technologies. Solar radiation, along with secondary solar-powered resources such as wind and wave power, hydroelectricity and biomass, account for most of the available...

, and small scale hydropower
Hydropower
Hydropower, hydraulic power, hydrokinetic power or water power is power that is derived from the force or energy of falling water, which may be harnessed for useful purposes. Since ancient times, hydropower has been used for irrigation and the operation of various mechanical devices, such as...

. Short-term solutions rest in more efficient domestic energy use by way of improved cook stoves which provide more affordable options in the near future than a complete shift to nonsolid fuels. Long-term solutions rest on transition to modern cleaner fuels and alternative energy sources within a broad international and national policy and economic agenda. Government support for long-term solutions is feasible as witnessed by current efforts in Zambia
Zambia
Zambia , officially the Republic of Zambia, is a landlocked country in Southern Africa. The neighbouring countries are the Democratic Republic of the Congo to the north, Tanzania to the north-east, Malawi to the east, Mozambique, Zimbabwe, Botswana and Namibia to the south, and Angola to the west....

 to develop policy to promote biofuels.

Kenya is the world leader in the number of solar power systems installed per capita (but not the number of watts added). More than 30,000 small solar panels, each producing 12 to 30 watts, are sold in Kenya
annually. For an investment of as little as $100 for the panel and wiring, the PV system can be used to charge a car battery, which can then provide power to run a fluorescent lamp or a small television for a few hours a day. More Kenyans adopt solar power every year than make connections to the country’s electric grid.

Further action

National and international effort must be stepped up to advance short and long term solutions for the millions of women and children who suffer from poverty and disease as a result of indoor air pollution. Scientists predict the African continent will be the first to experience the effects of global warming
Global warming
Global warming refers to the rising average temperature of Earth's atmosphere and oceans and its projected continuation. In the last 100 years, Earth's average surface temperature increased by about with about two thirds of the increase occurring over just the last three decades...

 where widespread poverty will put millions at further risk due to their limited capabilities to adapt. The potential is great for a more sustainable Africa with commitment from within and outside the region. Pneumonia
Pneumonia
Pneumonia is an inflammatory condition of the lung—especially affecting the microscopic air sacs —associated with fever, chest symptoms, and a lack of air space on a chest X-ray. Pneumonia is typically caused by an infection but there are a number of other causes...

 is the number one killer of children in the world and indoor air pollution is a strongly significant risk factor for severe pneumonia. The global health community designated November 2 to be World Pneumonia Day
World Pneumonia Day
World Pneumonia Day provides an annual forum for the world to stand together and demand action in the fight against pneumonia. More than 100 organizations representing the interests of children joined forces as the Global Coalition against Child Pneumonia to hold the first World Pneumonia Day on...

 in order to raise awareness about the disease and its causes.

See also

:Category:Energy by country
  • Envirofit
    Envirofit
    Envirofit International is a nonprofit project that develops technology that reduces pollution and enhances energy efficiency in developing countries, particularly in Asia. Envirofit hopes that its endeavors will "promote environmental benefits, improve public health, foster economic growth, and...

  • Guatemala Stove Project
    Guatemala Stove Project
    The Guatemala Stove Project , is a registered Canadian charity that raises funds and provides volunteers for the building of masonry cookstoves in Guatemala's Altiplano ....

  • Rocket stove
    Rocket stove
    A rocket stove is an innovative clean and efficient cooking stove using small diameter wood fuel which is burned in simple high-temperature combustion chamber containing an insulated vertical chimney which ensures complete combustion prior to the flames reaching the cooking surface. The principles...

  • Indoor air quality
    Indoor air quality
    Indoor air quality is a term referring to the air quality within and around buildings and structures, especially as it relates to the health and comfort of building occupants....

  • International Association of Certified Indoor Air Consultants
    International Association of Certified Indoor Air Consultants
    The International Association of Certified Indoor Air Consultants is the certifying body for home and commercial building inspectors who perform inspections to determine the quality of indoor air...

     (IAC2)
  • Rural electrification
    Rural electrification
    Rural electrification is the process of bringing electrical power to rural and remote areas. Electricity is used not only for lighting and household purposes, but it also allows for mechanization of many farming operations, such as threshing, milking, and hoisting grain for storage; in areas...

  • Sick building syndrome
    Sick building syndrome
    Sick building syndrome is a combination of ailments associated with an individual's place of work or residence. A 1984 World Health Organization report into the syndrome suggested up to 30% of new and remodeled buildings worldwide may be linked to symptoms of SBS...

  • Solar cooker
    Solar cooker
    A solar cooker, or solar oven, is a device which uses the energy of sunlight to heat food or drink to cook it or sterilize it. High-tech versions, for example electric ovens powered by solar cells, are possible, and have some advantages such as being able to work in diffuse light. However at...

  • Renewable energy in China
    Renewable energy in China
    Renewable energy is helping the People's Republic of China complete its economic transformation and achieve "energy security". China rapidly has moved along the path of renewable energy development. About 17 percent of China's electricity came from renewable sources in 2007, led by the world's...

  • World Pneumonia Day
    World Pneumonia Day
    World Pneumonia Day provides an annual forum for the world to stand together and demand action in the fight against pneumonia. More than 100 organizations representing the interests of children joined forces as the Global Coalition against Child Pneumonia to hold the first World Pneumonia Day on...


External links

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