Exposure reductions associated with introduction of solar lamps to kerosene lamp‐using households in Busia County,Kenya

Solar lamps are a clean and potentially cost‐effective alternative to polluting kerosene lamps used by millions of families in developing countries. By how much solar lamps actually reduce exposure to pollutants, however, has not been examined. Twenty households using mainly kerosene for lighting were enrolled through a secondary school in Busia County, Kenya. Personal PM_2.5 and CO concentrations were measured on a school pupil and an adult in each household, before and after provision of 3 solar lamps. PM_2.5 concentrations were measured in main living areas, pupils' bedrooms, and kitchens. Usage sensors measured use of kerosene and solar lighting devices. Ninety percent of baseline kerosene lamp use was displaced at 1‐month follow‐up, corresponding to average PM_2.5 reductions of 61% and 79% in main living areas and pupils' bedrooms, respectively. Average 48‐h exposure to PM_2.5 fell from 210 to 104 μg/m³ (?50%) among adults, and from 132 to 35 μg/m³ (?73%) among pupils. Solar lamps displaced most kerosene lamp use in at least the short term. If sustained, this could mitigate health impacts of household air pollution in some contexts. Achieving safe levels of exposure for all family members would likely require also addressing use of solid‐fuel stoves.     

The impact of biogas and fuelwood use on institutional kitchen air quality in Kampala,Uganda

Experts have suggested that microscale biogas systems offer a source of renewable energy that improves indoor air quality, but such impacts have not been directly measured. This study documented cooking behaviors and measured 2.5‐μm particulate matter (PM_2.5), carbon monoxide (CO), and sulfur dioxide (SO₂) concentrations within 14 institutional kitchens in Kampala, Uganda, that prepare meals using biogas (n=5), a mixture of biogas and fuelwood (n=3), and fuelwood (n=6). Small institutions (10‐30 people) with biogas kitchens had 99% lower concentrations of PM_2.5 (21 μg/m³) than fuelwood kitchens (3100 μg/m³). Larger institutions (>100 people) had biogas systems that produced insufficient gas and relied on fuelwood to meet over 90% of their energy needs. PM_2.5 concentrations in these biogas‐firewood kitchens were equivalent to concentrations in fuelwood kitchens. Although concentrations of hydrogen sulfide (H₂S) in biogas were as high as 2000 ppm, 75% of systems had undetectable H₂S levels (<100 ppm) in the biogas. Kitchens using biogas with high H₂S had correspondingly higher SO₂ concentrations in the kitchen air. However, even the highest SO₂ concentration in biogas kitchens (150 μg/m³) was lower than SO₂ concentration in fuelwood kitchens (390 μg/m³). The results suggest that biogas systems can offer air quality improvements if sized properly for energy demands.     

Personal exposure to PM2.5 in Chinese rural households in the Yangtze River Delta

High levels of PM_2.5 exposure and associated health risks are of great concern in rural China. For this study, we used portable PM_2.5 monitors for monitoring concentrations online, recorded personal time‐activity patterns, and analyzed the contribution from different microenvironments in rural areas of the Yangtze River Delta, China. The daily exposure levels of rural participants were 66 μg/m³ (SD 40) in winter and 65 μg/m³ (SD 16) in summer. Indoor exposure levels were usually higher than outdoor levels. The exposure levels during cooking in rural kitchens were 140 μg/m³ (SD 116) in winter and 121 μg/m³ (SD 70) in summer, the highest in all microenvironments. Winter and summer values were 252 μg/m³ (SD 103) and 204 μg/m³ (SD 105), respectively, for rural people using biomass for fuel, much higher than those for rural people using LPG and electricity. By combining PM_2.5concentrations and time spent in different microenvironments, we found that 92% (winter) and 85% (summer) of personal exposure to PM_2.5in rural areas was attributable to indoor microenvironments, of which kitchens accounted for 24% and 27%, respectively. Consequently, more effective policies and measures are needed to replace biomass fuel with LPG or electricity, which would benefit the health of the rural population in China.     

Chimney stoves modestly improved Indoor Air Quality measurements compared with traditional open fire stoves: results from a small‐scale intervention study in rural Peru

Nearly half of the world's population depends on biomass fuels to meet domestic energy needs, producing high levels of pollutants responsible for substantial morbidity and mortality. We compare carbon monoxide (CO) and particulate matter (PM_2.5) exposures and kitchen concentrations in households with study‐promoted intervention (OPTIMA‐improved stoves and control stoves) in San Marcos Province, Cajamarca Region, Peru. We determined 48‐h indoor air concentration levels of CO and PM_2.5 in 93 kitchen environments and personal exposure, after OPTIMA‐improved stoves had been installed for an average of 7 months. PM_2.5 and CO measurements did not differ significantly between OPTIMA‐improved stoves and control stoves. Although not statistically significant, a post hoc stratification of OPTIMA‐improved stoves by level of performance revealed mean PM_2.5 and CO levels of fully functional OPTIMA‐improved stoves were 28% lower (n = 20, PM_2.5, 136 μg/m³ 95% CI 54–217) and 45% lower (n = 25, CO, 3.2 ppm, 95% CI 1.5–4.9) in the kitchen environment compared with the control stoves (n = 34, PM_2.5, 189 μg/m³, 95% CI 116–261; n = 44, CO, 5.8 ppm, 95% CI 3.3–8.2). Likewise, although not statistically significant, personal exposures for OPTIMA‐improved stoves were 43% and 17% lower for PM_2.5 (n = 23) and CO (n = 25), respectively. Stove maintenance and functionality level are factors worthy of consideration for future evaluations of stove interventions.     

Lessons learned from a woodstove changeout on the Nez Perce Reservation

A woodstove changeout program was conducted within 16 homes on the Nez Perce Reservation in Idaho to evaluate the effectiveness of a woodstove changeout in improving indoor air quality. PM_2.5 samples were collected within the common area (rooms where the stoves were located) of the homes both before and after the installation of cleaner burning EPA-certified stoves. During the pre- and post-changeout sampling, indoor PM_2.5 mass, Organic Carbon (OC), Elemental Carbon (EC), and chemical markers of woodsmoke (including levoglucosan) were measured.Sampling results from this study showed that indoor air quality was improved in 10 of the 16 homes following the woodstove changeout and educational training program. Five homes had increased indoor PM_2.5 concentrations following the changeout, while one home did not have final PM_2.5 results for comparison. The median pre-changeout PM_2.5 mass (as measured by TSI DustTraks) was 39.2 μg/m³, with a median post-changeout concentration of 19.0 μg/m³. This resulted in an overall 52% reduction in median indoor PM_2.5, a 36% reduction in mean indoor PM_2.5 and a 60% reduction in PM_2.5 spikes when the old stoves were replaced with EPA-certified stoves. Another significant finding of the project was that targeted education and outreach is a critical component of the overall success of the program. Effective messaging to homeowners on proper use of their new stove is a necessary task of a woodstove changeout.     

Indoor carbon monoxide and PM2.5 concentrations by cooking fuels in Pakistan

Abstract Abstract In developing countries biomass combustion is a frequently used source of domestic energy and may cause indoor air pollution. Carbon monoxide (CO) and particulate matter with an aerodynamic diameter of 2.5 μm or less (PM_2.5) were measured in kitchens using wood or natural gas (NG) in a semi‐rural community in Pakistan. Daytime CO and PM_2.5 levels were measured for eight continuous hours in 51 wood and 44 NG users from December 2005 to April 2006. The laser photometer PM_2.5 (Dustrak, TSI) was calibrated for field conditions and PM_2.5 measurements were reduced by a factor of 2.77. CO was measured by an electrochemical monitor (Model T15v, Langan). The arithmetic mean for daytime CO concentration was 29.4 ppm in wood users; significantly higher than 7.5 ppm in NG users (P < 0.001). The arithmetic mean for daytime PM_2.5 concentrations was 2.74 mg/m³ in wood users; significantly higher than 0.38 mg/m³ in NG users (P < 0.001). Higher peak levels of CO and PM_2.5 were also observed in wood users. Time spent in the kitchen during fuel burning was significantly related to increasing CO and PM_2.5 concentrations in wood users. These findings suggest that cooking with wood fuel may lead to hazardous concentrations of CO and PM_2.5.     

Monitoring and modeling of household air quality related to use of different Cookfuels in Paraguay

In Paraguay, 49% of the population depends on biomass (wood and charcoal) for cooking. Residential biomass burning is a major source of fine particulate matter (PM_2.5) and carbon monoxide (CO) in and around the household environment. In July 2016, cross‐sectional household air pollution sampling was conducted in 80 households in rural Paraguay. Time‐integrated samples (24 hours) of PM_2.5 and continuous CO concentrations were measured in kitchens that used wood, charcoal, liquefied petroleum gas (LPG), or electricity to cook. Qualitative and quantitative household‐level variables were captured using questionnaires. The average PM_2.5 concentration (μg/m³) was higher in kitchens that burned wood (741.7 ± 546.4) and charcoal (107.0 ± 68.6) than in kitchens where LPG (52.3 ± 18.9) or electricity (52.0 ± 14.8) was used. Likewise, the average CO concentration (ppm) was higher in kitchens that used wood (19.4 ± 12.6) and charcoal (7.6 ± 6.5) than in those that used LPG (0.5 ± 0.6) or electricity (0.4 ± 0.6). Multivariable linear regression was conducted to generate predictive models for indoor PM_2.5 and CO concentrations (predicted R² = 0.837 and 0.822, respectively). This study provides baseline indoor air quality data for Paraguay and presents a multivariate statistical approach that could be used in future research and intervention programs.     

Fine and ultrafine particle exposures on 73 trips by car to 65 non‐smoking restaurants in the San Francisco Bay Area

A number of studies indicate cooking is a major source of exposure to particulate matter, but few studies have measured indoor air pollution in restaurants, where cooking predominates. We made 73 visits by car to 65 different non‐smoking restaurants in 10 Northern California towns while carrying portable continuous monitors that unobtrusively measured ultrafine (down to 10 nm) and fine (PM_2.5) particles to characterize indoor restaurant exposures, comparing them with exposures in the car. The mean ultrafine number concentrations in the restaurants on dinner visits averaging 1.4 h was 71 600 particles/cm³, or 4.3 times the mean concentration on car trips, and 12.3 times the mean background concentration in the residence. Restaurants that cooked dinner in the same room as the patrons had higher ultrafine concentrations than restaurants with separate kitchens. Restaurant PM_2.5 mass concentrations averaged 36.3 μg/m³, ranging from 1.5 to 454 μg/m³, but were relatively low on most visits: 43% of the indoor means were below 10 μg/m³ and 66% were below 20 μg/m³, with 5.5% above 100 μg/m³. Exposure to fine and ultrafine particles when visiting a restaurant exceeded the exposure a person received while traveling by car to and from the restaurant.     

Exposure to household air pollution from biomass cookstoves and blood pressure among women in rural Honduras: A cross‐sectional study

Growing evidence links household air pollution exposure from biomass cookstoves with elevated blood pressure. We assessed cross‐sectional associations of 24‐hour mean concentrations of personal and kitchen fine particulate matter (PM_2.5), black carbon (BC), and stove type with blood pressure, adjusting for confounders, among 147 women using traditional or cleaner‐burning Justa stoves in Honduras. We investigated effect modification by age and body mass index. Traditional stove users had mean (standard deviation) personal and kitchen 24‐hour PM_2.5 concentrations of 126 μg/m³ (77) and 360 μg/m³ (374), while Justa stove users’ exposures were 66 μg/m³ (38) and 137 μg/m³ (194), respectively. BC concentrations were similarly lower among Justa stove users. Adjusted mean systolic blood pressure was 2.5 mm Hg higher (95% CI, 0.7‐4.3) per unit increase in natural log‐transformed kitchen PM_2.5 concentration; results were stronger among women of 40 years or older (5.2 mm Hg increase, 95% CI, 2.3‐8.1). Adjusted odds of borderline high and high blood pressure (categorized) were also elevated (odds ratio = 1.5, 95% CI, 1.0‐2.3). Some results included null values and are suggestive. Results suggest that reduced household air pollution, even when concentrations exceed air quality guidelines, may help lower cardiovascular disease risk, particularly among older subgroups.     

A comparative study of human exposures to household air pollution from commonly used cookstoves in Sri Lanka

Solid fuel burning cookstoves are a major source of household air pollution (HAP) and a significant environmental health risk in Sri Lanka. We report results of the first field study in Sri Lanka to include direct measurements of both real‐time indoor concentrations and personal exposures of fine particulate matter (PM_2.5) in households using the two most common stove types in Sri Lanka. A purposive sample of 53 households was selected in the rural community of Kopiwatta in central Sri Lanka, roughly balanced for stove type (traditional or improved ‘Anagi’) and ventilation (chimney present or absent). At each household, 48‐h continuous real‐time measurements of indoor kitchen PM_2.5 and personal (primary cook) PM_2.5 concentrations were measured using the RTI MicroPEM^? personal exposure monitor. Questionnaires were used to collect data related to household demographics, characteristics, and self‐reported health symptoms. All primary cooks were female and of an average age of 47 years, with 66% having completed primary education. Median income was slightly over half the national median monthly income. Use of Anagi stoves was positively associated with a higher education level of the primary cook (P = 0.026), although not associated with household income (P = 0.18). The MicroPEM monitors were well‐received by participants, and this study's valid data capture rate exceeded 97%. Participant wearing compliance during waking hours was on average 87.2% on Day 1 and 83.3% on Day 2. Periods of non‐compliance occurred solely during non‐cooking times. The measured median 48‐h average indoor PM_2.5 concentration for households with Anagi stoves was 64 μg/m³ if a chimney was present and 181 μg/m³ if not. For households using traditional stoves, these values were 70 μg/m³ if a chimney was present and 371 μg/m³ if not. Overall, measured indoor PM_2.5 concentrations ranged from a minimum of 33 μg/m³ to a maximum of 940 μg/m³, while personal exposure concentrations ranged from 34 to 522 μg/m³. Linear mixed effects modeling of the dependence of indoor concentrations on stove type and presence or absence of chimney showed a significant chimney effect (65% reduction; P < 0.001) and an almost significant stove effect (24% reduction; P = 0.054). Primary cooks in households without chimneys were exposed to substantially higher levels of HAP than those in households with chimneys, while exposures in households with traditional stoves were moderately higher than those with improved Anagi stoves. As expected, simultaneously measuring both indoor concentrations and personal exposure levels indicate significant exposure misclassification bias will likely result from the use of a stationary monitor as a proxy for personal exposure. While personal exposure monitoring is more complex and expensive than deploying simple stationary devices, the value an active personal PM monitor like the MicroPEM adds to an exposure study should be considered in future study designs.     

Household and behavioral determinants of indoor PM2.5 in a rural solid fuel burning Native American community

Indoor and outdoor concentrations of PM_2.5 were measured for 24 h during heating and non-heating seasons in a rural solid fuel burning Native American community. Household building characteristics were collected during the initial home sampling visit using technician walkthrough questionnaires, and behavioral factors were collected through questionnaires by interviewers. To identify seasonal behavioral factors and household characteristics associated with indoor PM_2.5, data were analyzed separately by heating and non-heating seasons using multivariable regression. Concentrations of PM_2.5 were significantly higher during the heating season (indoor: 36.2 μg/m³; outdoor: 22.1 μg/m³) compared with the non-heating season (indoor: 14.6 μg/m³; outdoor: 9.3 μg/m³). Heating season indoor PM_2.5 was strongly associated with heating fuel type, housing type, indoor pests, use of a climate control unit, number of interior doors, and indoor relative humidity. During the non-heating season, different behavioral and household characteristics were associated with indoor PM_2.5 concentrations (indoor smoking and/or burning incense, opening doors and windows, area of surrounding environment, building size and height, and outdoor PM_2.5). Homes heated with coal and/or wood, or a combination of coal and/or wood with electricity and/or natural gas had elevated indoor PM_2.5 concentrations that exceeded both the EPA ambient standard (35 μg/m³) and the WHO guideline (25 μg/m³).     

Characterization and exposure assessment of household fine particulate matter pollution in China

Household fine particulate matter (PM_2.5) pollution greatly impacts residents' health. To explore the current national situation of household PM_2.5 pollution in China, a study was conducted based on literature published from 1998 to 2018. After extracting data from the literature in conformity with the requirements, the nationwide household-weighted mean concentration of household PM_2.5 (HPL) was calculated. Subgroup analyses of spatial, geographic, and temporal differences were also done. The estimated overall HPL in China was 132.2 ± 117.7 μg/m³. HPL in the rural area (164.3 ± 104.5 μg/m³) was higher than that in the urban area (123.9 ± 122.3 μg/m³). For HPLs of indoor sampling sites, the kitchen was the highest, followed by the bedroom and living room. There were significant differences of geographic distributions. The HPLs in the South were higher than the North in four seasons. The inhaled dose of household PM_2.5 among school-age children differed from provinces with the highest dose up to 5.9 μg/(kg·d). Countermeasures should be carried out to reduce indoor pollution and safeguard health urgently.     

Nitrogen dioxide and household fuel use in the Pakistan

More than half the world's population use biomass fuels as a household energy source and, hence, face significant exposure to a number of air pollutants. In Pakistan about 90% of rural households and 22% of urban households use biomass fuels. In order to assess the levels of NO₂ in the residential micro-environment, two sampling campaigns were carried out at different times of the year (summer and winter) at an urban and two rural sites during 2005 and 2007. Rural site I used biomass fuels while natural gas was utilized at rural site II and the urban site. In winter NO₂ concentrations at all three sites were higher in the kitchens than living rooms and outdoors. ANOVA showed that, although, there was a significant difference among NO₂ concentrations in the kitchens, living rooms and courtyards, at all the three sites, there was no significant different between kitchens using biomass fuels and natural gas. During the summer NO₂ levels fell sharply at both rural sites (from 256 μg/m³ and 242 μg/m³ to 51 μg/m³ and 81 μg/m³). However at the urban site the mean levels were slightly higher in summer (234 μg/m³) than in winter (218 μg/m³). The considerable seasonal variation at the rural sites was due to a shift of indoor kitchens to open outdoor kitchens at rural site I and more ventilation at rural site II during summer. There was no significant difference between kitchens using biomass (site I) or natural gas (site II), however the kitchens at rural site II and urban site showed a significant difference. Overall fuel selection showed no significant effect on NO₂ levels. However the NO₂ concentrations may pose a significant threat to the health of people, especially women and children.     

Coarse particulate matter and airborne endotoxin within wood stove homes

Emissions from indoor biomass burning are a major public health concern in developing areas of the world. Less is known about indoor air quality, particularly airborne endotoxin, in homes burning biomass fuel in residential wood stoves in higher income countries. A filter‐based sampler was used to evaluate wintertime indoor coarse particulate matter (PM_10‐2.5) and airborne endotoxin (EU/m³, EU/mg) concentrations in 50 homes using wood stoves as their primary source of heat in western Montana. We investigated number of residents, number of pets, dampness (humidity), and frequency of wood stove usage as potential predictors of indoor airborne endotoxin concentrations. Two 48‐h sampling events per home revealed a mean winter PM_10‐2.5 concentration (± s.d.) of 12.9 (± 8.6) μg/m³, while PM_2.5 concentrations averaged 32.3 (± 32.6) μg/m³. Endotoxin concentrations measured from PM_10‐2.5 filter samples were 9.2 (± 12.4) EU/m³ and 1010 (± 1524) EU/mg. PM_10‐2.5 and PM_2.5 were significantly correlated in wood stove homes (r = 0.36, P < 0.05). The presence of pets in the homes was associated with PM_10‐2.5 but not with endotoxin concentrations. Importantly, none of the other measured home characteristics was a strong predictor of airborne endotoxin, including frequency of residential wood stove usage.     

Unexpected increase in indoor pollutants after the introduction of a smoke‐free policy in a correctional center

Correctional centers (prisons) are one of the few non‐residential indoor environments where smoking is still permitted. However, few studies have investigated indoor air quality (IAQ) in these locations. We quantified the level of inmate and staff exposure to secondhand smoke, including particle number (PN) count, and we assessed the impact of the smoking ban on IAQ. We performed measurements of indoor and outdoor PM_2.5 and PN concentrations, personal PN exposure levels, volatile organic compounds (VOCs), and nicotine both before and after a complete indoor smoking ban in an Australian maximum security prison. Results show that the indoor 24‐h average PM_2.5 concentrations ranged from 6 (±1) μg/m³ to 17 (±3) μg/m³ pre‐ban. The post‐ban levels ranged from 7 (±2) μg/m³ to 71 (±43) μg/m³. While PM_2.5 concentrations decreased in one unit post‐ban, they increased in the other two units. Similar post‐ban increases were also observed in levels of PN and VOCs. We describe an unexpected increase of indoor pollutants following a total indoor smoking ban in a prison that was reflected across multiple pollutants that are markers of smoking. We hypothesise that clandestine post‐ban smoking among inmates may have been the predominant cause.     

Indoor exposure to particulate matter and the incidence of acute lower respiratory infections among children: A birth cohort study in urban Bangladesh

Approximately half of all children under two years of age in Bangladesh suffer from an acute lower respiratory infection (ALRI) each year. Exposure to indoor biomass smoke has been consistently associated with an increased risk of ALRI in young children. Our aim was to estimate the effect of indoor exposure to particulate matter (PM_2.5) on the incidence of ALRI among children in a low‐income, urban community in Bangladesh. We followed 257 children through two years of age to determine their frequency of ALRI and measured the PM_2.5 concentrations in their sleeping space. Poisson regression was used to estimate the association between ALRI and the number of hours per day that PM_2.5 concentrations exceeded 100 μg/m³, adjusting for known confounders. Each hour that PM_2.5 concentrations exceeded 100 μg/m³ was associated with a 7% increase in incidence of ALRI among children aged 0–11 months (adjusted incidence rate ratio (IRR) 1.07, 95% CI 1.01–1.14), but not in children 12–23 months old (adjusted IRR 1.00, 95% CI 0.92–1.09). Results from this study suggest that reducing indoor PM_2.5 exposure could decrease the frequency of ALRI among infants, the children at highest risk of death from these infections.     

Controlled experiments measuring personal exposure to PM2.5 in close proximity to cigarette smoking

Few measurements of exposure to secondhand smoke (SHS) in close proximity to a smoker are available. Recent health studies have demonstrated an association between acute (<2 h) exposures to high concentrations of SHS and increased risk of cardiovascular and respiratory disease. We performed 15 experiments inside naturally ventilated homes and 16 in outdoor locations, each with 2–4 non‐smokers sitting near a cigarette smoker. The smoker's and non‐smokers' real‐time exposures to PM_2.5 from SHS were measured by using TSI SidePak monitors to sample their breathing zones. In 87% of the residential indoor experiments, the smoker received the highest average exposure to SHS, with PM_2.5 concentrations ranging from 50–630 μg/m³. During the active smoking period, individual non‐smokers sitting within approximately 1 m of a smoker had average SHS exposures ranging from negligible up to >160 μg/m³ of PM_2.5. The average incremental exposure of the non‐smokers was higher indoors (42 μg/m³, n = 35) than outdoors (29 μg/m³, n = 47), but the overall indoor and outdoor frequency distributions were similar. The 10‐s PM_2.5 averages during the smoking periods showed great variability, with multiple high concentrations of short duration (microplumes) both indoors and outdoors.     

Particle characterization in retail environments: concentrations,sources, and removal mechanisms

Particles in retail environments can have consequences for the occupational exposures of retail workers and customers, as well as the energy costs associated with ventilation and filtration. Little is known about particle characteristics in retail environments. We measured indoor and outdoor mass concentrations of PM₁₀ and PM_2.5, number concentrations of submicron particles (0.02–1 μm), size‐resolved 0.3–10 μm particles, as well as ventilation rates in 14 retail stores during 24 site visits in Pennsylvania and Texas. Overall, the results were generally suggestive of relatively clean environments when compared to investigations of other building types and ambient/occupational regulatory limits. PM₁₀ and PM_2.5 concentrations (mean ± s.d.) were 20 ± 14 and 11 ± 10 μg/m³, respectively, with indoor‐to‐outdoor ratios of 1.0 ± 0.7 and 0.88 ± 1.0. Mean submicron particle concentrations were 7220 ± 7500 particles/cm³ with an indoor‐to‐outdoor ratio of 1.18 ± 1.30. The median contribution to PM₁₀ and PM_2.5 concentrations from indoor sources (vs. outdoors) was 83% and 53%, respectively. There were no significant correlations between measured ventilation rates and particle concentrations of any size. When examining options to lower PM_2.5 concentrations below regulatory limits, the required changes to ventilation and filtration efficiency were site specific and depended on the indoor and outdoor concentration, emission rate, and infiltration level.     

Maternal exposure to carbon monoxide and fine particulate matter during pregnancy in an urban Tanzanian cohort

Low birthweight contributes to as many as 60% of all neonatal deaths; exposure during pregnancy to household air pollution has been implicated as a risk factor. Between 2011 and 2013, we measured personal exposures to carbon monoxide (CO) and fine particulate matter (PM_2.5) in 239 pregnant women in Dar es Salaam, Tanzania. CO and PM_2.5 exposures during pregnancy were moderately high (geometric means 2.0 ppm and 40.5 μg/m³); 87% of PM_2.5 measurements exceeded WHO air quality guidelines. Median and high (75th centile) CO exposures were increased for those cooking with charcoal and kerosene versus kerosene alone in quantile regression. High PM_2.5 exposures were increased with charcoal use. Outdoor cooking reduced median PM_2.5 exposures. For PM_2.5, we observed a 0.15 kg reduction in birthweight per interquartile increase in exposure (23.0 μg/m³) in multivariable linear regression; this finding was of borderline statistical significance (95% confidence interval 0.30, 0.00 kg; P = 0.05). PM_2.5 was not significantly associated with birth length or head circumference nor were CO exposures associated with newborn anthropometrics. Our findings contribute to the evidence that exposure to household air pollution, and specifically fine particulate matter, may adversely affect birthweight.     

Exposure to fine particulate matter in ten night clubs in Athens Greece: Studying the effect of ventilation, cigarette smoking and resuspension

The aim of the present work is to study the occupants' exposure to fine particulate concentrations in ten nightclubs (NCs) in Athens, Greece. Measurements of PM₁ and PM_2.5 were made in the outdoor and indoor environment of each NC. The average indoor PM₁ and PM_2.5 concentrations were found to be 181.77 μg m^− 3 and 454.08 μg m^− 3 respectively, while the corresponding outdoor values were 11.04 μg m^− 3 and 32.19 μg m^− 3. Ventilation and resuspension rates were estimated through consecutive numerical experiments with an indoor air quality model and were found to be remarkably lower than the minimum values recommended by national standards. The relative effects of the ventilation and smoking on the occupants' exposures were examined using multiple regression techniques. It was found that given the low ventilation rates, the effect of smoking as well as the occupancy is of the highest importance. Numerical evaluations showed that if the ventilation rates were at the minimum values set by national standards, then the indoor exposures would be reduced at the 70% of the present exposure values.