Sources of variation for indoor nitrogen dioxide in rural residences of Ethiopia

Abera Kumie, Anders Emmelin, Sonny Wahlberg, Yemane Berhane, Ahmed Ali, Eyassu Mekonen, Alemayehu Worku, Doris Brandstrom, Abera Kumie, Anders Emmelin, Sonny Wahlberg, Yemane Berhane, Ahmed Ali, Eyassu Mekonen, Alemayehu Worku, Doris Brandstrom

Abstract

Background: Unprocessed biomass fuel is the primary source of indoor air pollution (IAP) in developing countries. The use of biomass fuel has been linked with acute respiratory infections. This study assesses sources of variations associated with the level of indoor nitrogen dioxide (NO2).

Materials and methods: This study examines household factors affecting the level of indoor pollution by measuring NO2. Repeated measurements of NO2 were made using a passive diffusive sampler. A Saltzman colorimetric method using a spectrometer calibrated at 540 nm was employed to analyze the mass of NO2 on the collection filter that was then subjected to a mass transfer equation to calculate the level of NO2 for the 24 hours of sampling duration. Structured questionnaire was used to collect data on fuel use characteristics. Data entry and cleaning was done in EPI INFO version 6.04, while data was analyzed using SPSS version 15.0. Analysis of variance, multiple linear regression and linear mixed model were used to isolate determining factors contributing to the variation of NO2 concentration.

Results: A total of 17,215 air samples were fully analyzed during the study period. Wood and crop were principal source of household energy. Biomass fuel characteristics were strongly related to indoor NO2 concentration in one-way analysis of variance. There was variation in repeated measurements of indoor NO2 over time. In a linear mixed model regression analysis, highland setting, wet season, cooking, use of fire events at least twice a day, frequency of cooked food items, and interaction between ecology and season were predictors of indoor NO2 concentration. The volume of the housing unit and the presence of kitchen showed little relevance in the level of NO2 concentration.

Conclusion: Agro-ecology, season, purpose of fire events, frequency of fire activities, frequency of cooking and physical conditions of housing are predictors of NO2 concentration. Improved kitchen conditions and ventilation are highly recommended.

Figures

Figure 1
Figure 1
Type of fuel and its use pattern that was observed during 24 hours of indoor NO2 sampling, Butajira, Ethiopia, 2000-2002 (n = 16899). For each type of fuel, the number in brackets indicates the proportion of type fuel used singly and in combination with others in reference to respondent's judgment comparing with the usual days.

References

    1. Rehfuess E, Mehta S, Prüss-Üstün1 A. Assessing Household Solid Fuel Use: Multiple Implications for the Millennium Development Goals. Environ Health Perspect. 2006;114:373–378.
    1. Murray C, Lopez A. Global mortality, disability, and the contribution of risk factors: Global Burden of Disease Study. Lancet. 1997;349:1436–1442. doi: 10.1016/S0140-6736(96)07495-8.
    1. Murray CJL, Lopez AD. Mortality by cause for eight regions of the world: Global Burden of Disease Study. Lancet. 1997;349:1269–1276. doi: 10.1016/S0140-6736(96)07493-4.
    1. Smith KR, Samet JM, Romieu I, Bruce N. Indoor air pollution in developing countries and acute lower respiratory infections in children. Thorax. 2000;55:518–532. doi: 10.1136/thorax.55.6.518.
    1. World Health Organization. World Health Report: Reducing Risks, Promoting Healthy Life. Geneva. World Health Organization; 2002.
    1. World Health Organization. Indoor air pollution: the killer in the kitchen. Joint statement WHO/UNDP/5. Geneva. World Health Organization; 2004.
    1. Smith KR. National burden of disease in India from indoor air pollution. PNAS. 2000;97:13286–13293. doi: 10.1073/pnas.97.24.13286.
    1. Pandey MR, Smith KR, Boleij JSM, Wafula EM. Indoor air pollution in developing countries and acute respiratory infections in children. Lancet. 1989;i:427–429. doi: 10.1016/S0140-6736(89)90015-9.
    1. Zhang J, Smith KR. Indoor air pollution from household fuel combustion in China: a review presentation. The 10th International Conference on Indoor Air Quality and Climate, September 4-9, Beijing, China. 2005.
    1. Dasgupta S, Huq M, Khaliquzzaman M, Pandey K, Wheeler D. Indoor air quality for poor families: new evidence from Bangladesh. Indoor Air. 2006;16:426–444. doi: 10.1111/j.1600-0668.2006.00436.x.
    1. Zhang J, Smith KR. Indoor air pollution: a global concern. British Medical Bulletin. 2003;68:209–225. doi: 10.1093/bmb/ldg029.
    1. Bruce N, Perez-Padilla R, Albalak R. Indoor air pollution in developing countries: a major environmental and public health challenge. Bull World Health Organ. 2000;78:1078–1092.
    1. Smith KR. Indoor air pollution in developing countries: recommendations for research. Indoor Air. 2002;12:198–207. doi: 10.1034/j.1600-0668.2002.01137.x.
    1. Pandey MR. Domestic smoke pollution and chronic bronchitis in a rural community of the hill Region of Nepal. Thorax. 1984;39:337–339. doi: 10.1136/thx.39.5.337.
    1. Mishra V. Indoor air pollution from biomass combustion and acute respiratory illness in preschool age children in Zimbabwe. Int J Epidemiol. 2003;32:847–852. doi: 10.1093/ije/dyg240.
    1. Albalak R, Frisancho AR, Keeler GJ. Domestic biomass fuel combustion and chronic bronchitis in two rural Bolivian villages. Thorax. 1999;54:1004–1008.
    1. Schel MA, Hessen JO, Smith KR, Briuce N, Mccracken, Lopez V. Childhood asthma and indoor wood smoke from cooking in Guatemala. Journal of exposure analysis and environmental epidemiology. 2004;14:S110–S117. doi: 10.1038/sj.jea.7500365.
    1. Shrestha I, Shrestha S. Indoor Air pollution from biomass fuels and respiratory Health of the exposed population in Nepalese households. Int J Occup Environmental Health. 2005;11:150–160.
    1. Derege K. Socio-demographic characteristics and indoor air pollution as risk factors for acute lower respiratory infections in under-five children in Addis Ababa. Ethiop J Health Dev. 1997;11:315–325.
    1. Goldstein BD, Melia RJ, Chinn S, Florey CV, Clark D, John HH. The relation between respiratory illness in primary schoolchildren and the use of gas for cooking--II. Factors affecting nitrogen dioxide levels in the home. J Epidemiol. 1979;8:339–345. doi: 10.1093/ije/8.4.339.
    1. Belanger K, Gent JF, Triche EW, Bracken MB, Leaderer BP. Association between nitrogen dioxide exposure with respiratory symptoms in children with asthma. Am J Respir Crit care Med. 2006;173:297–203. doi: 10.1164/rccm.200408-1123OC.
    1. García A, Pichini S, Basagaña X, Puig C, Vall O, Torrent M, Harris J, Sunyer J, Cullinan P. Concentrations and determinants of NO2 in homes of Ashford, UK and Barcelona and Menorca, Spain. Indoor Air. 2004;14:298–304. doi: 10.1111/j.1600-0668.2004.00256.x.
    1. Hagenbjork GA, Forsberg B, Hestvik G, Karlsson D, Wahlberg S, Sandstrom T. Measurements of indoor and outdoor nitrogen dioxide concentrations using a diffusive sampler. Analyst. 1996;121:1261–1264. doi: 10.1039/an9962101261.
    1. Zota A, Adamkiewicz G, Levy JI, Spengler JD. Ventilation in public housing: implications for indoor nitrogen dioxide concentrations. Indoor Air. 2005;15:393–401. doi: 10.1111/j.1600-0668.2005.00375.x.
    1. Hansel NN, Breysse PN, McCormack MC, Matsui EC, Curtin-Brosnan J, Williams DL, Moore JL, Cuhran JL, Diette GB. A Longitudinal Study of Indoor Nitrogen Dioxide Levels and Respiratory Symptoms in Inner-City Children with Asthma. Environ Health Perspect. 2008;116:1428–1432.
    1. Levy JI, Lee K, Yanagisawa K, Hutchinson DP, Spengler J. Determinants of nitrogen dioxide Concentrations in indoor ice skating rinks. Am J Public Health. 1998;88:1781–1786. doi: 10.2105/AJPH.88.12.1781.
    1. World Health Organization. WHO Air Quality Guidelines Global Update 2005 for articulate matter, ozone, nitrogen dioxide and sulfur dioxide. Geneva. 2006.
    1. Balakrishnan K, Parikh J, Sankar S, Padmavathi R, Srividya K, Venugopal V, Prasad S, Pandey VL. Daily average exposures to respirable particulate matter from combustion of biomass fuels in rural households of Southern India. Environ Health Perspect. 2002;110:1069–1075.
    1. Ellegard A. Cooking fuel smoke and respiratory symptoms among women in low-income areas in Maputo. Environ Health Perspec. 1996;104:980–985. doi: 10.2307/3433146.
    1. Wafula EM, Onyango FE, Thairu H, Boleij JS, Hoek F, Ruigewaard P, Kagwanja S, De Koning H, Pio A, Kimani E. Indoor air pollution in a Kenyan village. East Afr Med J. 1990;67:24–32.
    1. Center for Entrepreneurship in International Health and Development, School of Public Health (CEIHD), University of California, Berkley. Indoor air pollution monitoring in Ghana.
    1. McCracken J, Charron D. Evaluation of the Efficacy and Effectiveness of the EcoStove for reducing indoor air pollution exposures among Nicaraguan women. 2003.
    1. U.S Environmental Protection Agency. National Ambient Air Quality Standards (NAAQS)
    1. Central Statistical Agency. Analytical Report. Addis Ababa. Central Statistical Agency; 2004. The Federal Democratic Republic of Ethiopia. Welfare Monitoring Survey 2004.
    1. Central Statistical Agency and ORC Macro. Ethiopia demographic and health survey 2005. Addis Ababa, Ethiopia and Calverton, Maryland, USA. Central Statistical Agency and ORC Macro; 2006.
    1. Kumie A, Berhane Y. Crowding in a traditional rural housing ("Tukul") in Ethiopia. Ethiop J Health Dev. 2002;16:303–308.
    1. Fantahun M, Kumbi S, Degu G, Kebde Y, Admassu M, Haile W, Hailu S. Dabat Rural Health Project, North west Ethiopia: report of the baseline survey. Ethiop J Health Dev. 2001;15:1–27.
    1. Kebede F. Survey of indoor air pollution problems in the rural communities of Jimma, Southwest Jimma. Ethiop J Health Sci. 2002;12:1–13.
    1. Jurgen U. Indoor Air Pollution in Rural Tigray, Ethiopia. 1994.
    1. Center for Entrepreneurship in International Health and Development (CEIHD) School of Public Health, University of California, Berkeley, California in collaboration with Gaia Association. Indoor air pollution monitoring summary for the Gaia Association Clean Cook Stove tests for Somali Region. Bonga Refugee Camp; 2007. .
    1. Kumie A, Emmelin A, Wahlberg S, Berhane Y, Ali A, Mekonnen E, Brandstrom D. Magnitude of indoor NO2 from biomass fuels in rural settings of Ethiopia. Indoor Air. 2009;19:14–21. doi: 10.1111/j.1600-0668.2008.00555.x.
    1. Ministry of Health, Ethiopia. Health and Health related indicators 2005/2006. Addis Ababa. Ministry of Health; 2005.
    1. Willems JJH, Adema EH. Allergrini I. Development of analytical techniques for atmospheric pollutants. Workshop organized by EC and CNR. Rome; 1992. Passive monitoring of NH3, SO2, NO2, and Ozone.
    1. Hagenbjork GA, Forsberg B, Hestvik G, Karlsson D, Wahlberg S, Sandstrom T. Measurements of indoor and outdoor nitrogen dioxide concentrations using a diffusive sampler. Analyst. 1996;121:1261–1264. doi: 10.1039/an9962101261.
    1. Hagenbjork GA, Roger L, J OL, Doris K. Validation of diffusive sampler for NO2. J Environ Monit. 1999;1:349–352. doi: 10.1039/a902937k.
    1. Berhanu Eshete. MPH thesis. Addis Ababa University; 1999. Exposure assessment to indoor smoke pollution in a rural Ethiopia.
    1. Central Statistical Authority, Ethiopia. Statistical Abstract. Addis Ababa. Central Statistical Agency; 2007.
    1. Balakrishnan K, Sambandam S, Ramaswamy P, Mehta S, Smith KR. Exposure assessment for respirable particulates associated with household fuel use in rural districts of Andhra Pradesh, India. Journal of Exposure Analysis and Environmental Epidemiology. 2004;14:S14–S25. doi: 10.1038/sj.jea.7500354.
    1. Kloos H, Woldu Z. In: Epidemiology and Ecology of Health and Disease in Ethiopia. BerhaneY, Haile-Mariam D, Kloos H, editor. Addis Ababa: Shama Books; 2006. The physical and biotic environment: its features and health implications; pp. 10–30.
    1. Adhanom Tedros, Deressa Wakgari, Hanna Karen, Getachew Asfaw, Seboxa Teshale. In: Epidemiology and ecology of health and disease in Ethiopia. Berhane Y, Haile-Mariam D, Kloos H, editor. Addis Ababa: Shama Books; 2006. Malaria; pp. 556–576.
    1. Ezzati M. Indoor air pollution and health in developing countries. Lancet. 2005;366:104–106. doi: 10.1016/S0140-6736(05)66845-6.
    1. Ezzati M. Selected major risk factors and global and regional burden of disease. Lancet. 2002.
    1. Baxter LK, Clougherty JE, Laden F, Levy JI. Predictors of concentrations of nitrogen dioxide, fine particulate matter, and particle constituents inside of lower socioeconomic status urban homes. J Expo Sci Environ Epidemiol. 2007;17:433–444. doi: 10.1038/sj.jes.7500532.
    1. United Nations Environment program. GEO: Global Environment outlook. GEO Year Book.

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