National burden of disease in India from indoor air pollution
- 21 November 2000
- journal article
- Published by Proceedings of the National Academy of Sciences in Proceedings of the National Academy of Sciences
- Vol. 97 (24), 13286-13293
- https://doi.org/10.1073/pnas.97.24.13286
Abstract
In the last decade, a number of quantitative epidemiological studies of specific diseases have been done in developing countries that for the first time allow estimation of the total burden of disease (mortality and morbidity) attributable to use of solid fuels in adult women and young children, who jointly receive the highest exposures because of their household roles. Few such studies are available as yet for adult men or children over 5 years. This paper evaluates the existing epidemiological studies and applies the resulting risks to the more than three-quarters of all Indian households dependent on such fuels. Allowance is made for the existence of improved stoves with chimneys and other factors that may lower exposures. Attributable risks are calculated in reference to the demographic conditions and patterns of each disease in India. Sufficient evidence is available to estimate risks most confidently for acute respiratory infections (ARI), chronic obstructive pulmonary disease (COPD), and lung cancer. Estimates for tuberculosis (TB), asthma, and blindness are of intermediate confidence. Estimates for heart disease have the lowest confidence. Insufficient quantitative evidence is currently available to estimate the impact of adverse pregnancy outcomes (e.g., low birthweight and stillbirth). The resulting conservative estimates indicate that some 400-550 thousand premature deaths can be attributed annually to use of biomass fuels in these population groups. Using a disability-adjusted lost life-year approach, the total is 4-6% of the Indian national burden of disease, placing indoor air pollution as a major risk factor in the country.Keywords
This publication has 102 references indexed in Scilit:
- Indoor air pollution in developing countries and acute lower respiratory infections in childrenThorax, 2000
- Impact of Air Pollution on Reproductive HealthEnvironmental Health Perspectives, 1999
- EXPOSURE TO URBAN AIR PARTICULATES ALTERS THE MACROPHAGE-MEDIATED INFLAMMATORY RESPONSE TO RESPIRATORY VIRAL INFECTIONJournal of Toxicology and Environmental Health, Part A, 1999
- The relative importance of socio‐economic status, parental smoking and air pollution (SO2) on asthma symptoms, spirometry and bronchodilator response in 11‐year‐old childrenPediatric Allergy and Immunology, 1999
- A Study of Risk Factors for Pneumococcal Disease among Children in a Rural Area of West AfricaInternational Journal of Epidemiology, 1996
- Home environment and asthma in Kenyan schoolchildren: a case-control study.Thorax, 1995
- Effect of smoke condensate on the physiological integrity and morphology of organ cultured rat lensesCurrent Eye Research, 1995
- Cooking in India: The impact of improved stoves on indoor air qualityEnvironment International, 1989
- INDOOR AIR POLLUTION IN DEVELOPING COUNTRIES AND ACUTE RESPIRATORY INFECTION IN CHILDRENThe Lancet, 1989
- Chronic Cor Pulmonale in DelhiCirculation, 1959