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.     

Kerosene lighting contributes to household air pollution in rural Uganda

The literature on the contribution of kerosene lighting to indoor air particulate concentrations is sparse. In rural Uganda, kitchens are almost universally located outside the main home, and kerosene is often used for lighting. In this study, we obtained longitudinal measures of particulate matter 2.5 microns or smaller in size (PM_2.5) from living rooms and kitchens of 88 households in rural Uganda. Linear mixed‐effects models with a random intercept for household were used to test the hypotheses that primary reported lighting source and kitchen location (indoor vs outdoor) are associated with PM_2.5 levels. During initial testing, households reported using the following sources of lighting: open‐wick kerosene (19.3%), hurricane kerosene (45.5%), battery‐powered (33.0%), and solar (1.1%) lamps. During follow‐up testing, these proportions changed to 29.5%, 35.2%, 18.2%, and 9.1%, respectively. Average ambient, living room, and kitchen PM_2.5 levels were 20.2, 35.2, and 270.0 μg/m³. Living rooms using open‐wick kerosene lamps had the highest PM_2.5 levels (55.3 μg/m³) compared to those using solar lighting (19.4 μg/m³; open wick vs solar, P=.01); 27.6% of homes using open‐wick kerosene lamps met World Health Organization indoor air quality standards compared to 75.0% in homes using solar lighting.     

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.     

Seasonal variability in environmental tobacco smoke exposure in public housing developments

The risk of tobacco smoking and second‐hand smoke (SHS) exposure combined are the leading contributors to disease burden in high‐income countries. Recent studies and policies are focusing on reducing exposure to SHS in multiunit housing (MUH), especially public housing. We examined seasonal patterns of SHS levels within indoor common areas located on Boston Housing Authority (BHA) properties. We measured weekly integrated and continuous fine particulate matter (PM_2.5) and passive airborne nicotine in six buildings of varying building and occupant characteristics in summer 2012 and winter 2013. The average weekly indoor PM_2.5 concentration across all six developments was 9.2 μg/m³, higher during winter monitoring period (10.3 μg/m³) compared with summer (8.0 μg/m³). Airborne nicotine concentrations ranged from no detection to about 5000 ng/m³ (mean 311 ng/m³). Nicotine levels were significantly higher in the winter compared with summer (620 vs. 85 ng/m³; 95% CI: 72–998). Smoking‐related exposures within Boston public housing vary by season, building types, and resident smoking policy. Our results represent exposure disparities that may contribute to health disparities in low‐income communities and highlight the potential importance of efforts to mitigate SHS exposures during winter when outdoor–indoor exchange rates are low and smokers may tend to stay indoors. Our findings support the use of smoke‐free policy as an effective tool to eliminate SHS exposure and protect non‐smokers, especially residents of MUH.     

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.     

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.     

Chemical characterization of PM₁₀ and PM₂.₅ mass concentrations emitted by heterogeneous traffic

In this paper, the chemical characterization of PM₁₀ and PM_2.5 mass concentrations emitted by heterogeneous traffic in Chennai city during monsoon, winter and summer seasons were analysed. The 24-h averages of PM₁₀ and PM_2.5 mass concentrations, showed higher concentrations during the winter season (PM₁₀ = 98 μg/m³; PM_2.5 = 74 μg/m³) followed by the monsoon (PM₁₀ = 87 μg/m³; PM_2.5 = 56 μg/m³) and summer (PM₁₀ = 77 μg/m³; PM_2.5 = 67 μg/m³) seasons. The assessment of 24-h average PM₁₀ and PM_2.5 concentrations was indicated as violation of the world health organization (WHO standard for PM₁₀ = 50 μg/m³ and PM_2.5 = 25 μg/m³) and Indian national ambient air quality standards (NAAQS for PM₁₀ = 100 μg/m³ and PM_2.5 = 60 μg/m³).The chemicals characterization of PM₁₀ and PM_2.5 samples (22 samples) for each season were made for water soluble ions using Ion Chromatography (IC) and trace metals by Inductively Coupled Plasma Optical Emission Spectroscopy (ICP-OES) instrument. Results showed the dominance of crustal elements (Ca, Mg, Al, Fe and K), followed by marine aerosols (Na and K) and trace elements (Zn, Ba, Be, Ca, Cd, Co, Cr, Cu, Mn, Ni, Pb, Se, Sr and Te) emitted from road traffic in both PM₁₀ and PM_2.5 mass. The ionic species concentration in PM₁₀ and PM_2.5 mass consists of 47-65% of anions and 35-53% of cations with dominance of SO₄²⁻ ions. Comparison of the metallic and ionic species in PM₁₀ and PM_2.5 mass indicated the contributions from sea and crustal soil emissions to the coarse particles and traffic emissions to fine particles.     

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.     

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.     

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.     

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.     

Impact of neighborhood biomass cooking patterns on episodic high indoor particulate matter concentrations in clean fuel homes in Dhaka,Bangladesh

Exposure to particulate matter (PM_2.5) from the burning of biomass is associated with increased risk of respiratory disease. In Dhaka, Bangladesh, households that do not burn biomass often still experience high concentrations of PM_2.5, but the sources remain unexplained. We characterized the diurnal variation in the concentrations of PM_2.5 in 257 households and compared the risk of experiencing high PM_2.5 concentrations in biomass and non‐biomass users. Indoor PM_2.5 concentrations were estimated every minute over 24 h once a month from April 2009 through April 2010. We found that households that used gas or electricity experienced PM_2.5 concentrations exceeding 1000 μg/m³ for a mean of 35 min within a 24‐h period compared with 66 min in biomass‐burning households. In both households that used biomass and those that had no obvious source of particulate matter, the probability of PM_2.5 exceeding 1000 μg/m³ were highest during distinct morning, afternoon, and evening periods. In such densely populated settings, indoor pollution in clean fuel households may be determined by biomass used by neighbors, with the highest risk of exposure occurring during cooking periods. Community interventions to reduce biomass use may reduce exposure to high concentrations of PM_2.5 in both biomass and non‐biomass using households.     

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.     

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.     

Interpretation of the variability of levels of regional background aerosols in the Western Mediterranean

Results on interpretation of the variability of regional background PM levels in the Western Mediterranean basin (WMB) are presented. Mean PM levels recorded at Montseny, MSY (North-Eastern Spain) in the 2002-2007 period reached 17, 13 and 11 µg/m³ of PM₁₀, PM_2.5 and PM₁, respectively.The daily evolution of PM levels is regulated by the breeze circulation (mountain and sea breezes). PM levels are lower at the rural sites at night owing to the nocturnal drainage flows and to the lowering of the mixing layer height below the MSY high. These nocturnal low levels allowed us to estimate the continental background PM levels. At midday, the atmospheric pollutants accumulated in the pre-coastal depression are transported upwards by the breeze, increasing PM levels.Maximum PM₁₀ levels were recorded in summer, and February-March and November, and minimum values in the rest of the year coinciding with the highest frequency of Atlantic advection. PM peak episodes attributed to Saharan dust outbreaks were recorded in summer and February-March. In addition, anticyclonic situations (February-March and November) may impact in elevated rural areas by increasing hourly levels of PM₁ up to 75 µg/m³. This scenario induces the stagnation of pollutants in the pre-coastal depression. Solar radiation activates mountain winds, transporting polluted air masses from the valleys to elevated areas resulting in an increase of fine PM levels in areas outside the boundary layer.A significant decrease in PM annual means (40% and 34% for the entire monitoring period, 7 µgPM₁₀/m³ and 5 µgPM_2.5/m³) was recorded at MSY between 2002 and 2007. There appears to be no single cause behind these trends. This could partially be ascribed to the varying frequency and intensity of Saharan dust episodes, but also to large-scale meteorological processes or cycles, and/or to local or meso-scale processes such as nearby anthropogenic emission sources.     

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.     

Size distribution and lung-deposited doses of particulate matter from household exposure to biomass smoke

Exposure to high concentrations of particulate matter (PM) is associated with a number of adverse health effects. However, it is unclear which aspects of PM are most hazardous, and a better understanding of particle sizes and personal exposure is needed. We characterized particle size distribution (PSD) from biomass-related pollution and assessed total and regional lung-deposited doses using multiple-path deposition modeling. Gravimetric measurements of kitchen and personal PM_2.5 (<2.5 µm in size) exposures were collected in 180 households in rural Puno, Peru. Direct-reading measurements of number concentrations were collected in a subset of 20 kitchens for particles 0.3-25 µm, and the continuous PSD was derived using a nonlinear least-squares method. Mean daily PM_2.5 kitchen concentration and personal exposure was 1205 ± 942 µg/m³ and 115 ± 167 µg/m³, respectively, and the mean mass concentration consisted of a primary accumulation mode at 0.21 µm and a secondary coarse mode at 3.17 µm. Mean daily lung-deposited surface area (LDSA) and LDSA during cooking were 1009.6 ± 1469.8 µm²/cm³ and 10,552.5 ± 8261.6 µm²/cm³, respectively. This study presents unique data regarding lung deposition of biomass smoke that could serve as a reference for future studies and provides a novel, more biologically relevant metric for exposure-response analysis compared to traditional size-based metrics.     

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.     

Acute health effects from exposure to indoor ultrafine particles—A randomized controlled crossover study among young mild asthmatics

Particulate matter is linked to adverse health effects, however, little is known about health effects of particles emitted from typical indoor sources. We examined acute health effects of short-term exposure to emissions from cooking and candles among asthmatics. In a randomized controlled double-blinded crossover study, 36 young non-smoking asthmatics attended three exposure sessions lasting 5 h: (a) air mixed with emissions from cooking (fine particle mass concentration): (PM_2.5: 96.1 μg/m³), (b) air mixed with emissions from candles (PM_2.5: 89.8 μg/m³), and c) clean filtered air (PM_2.5: 5.8 μg/m³). Health effects (spirometry, fractional exhaled Nitric Oxide [FeNO], nasal volume and self-reported symptoms) were evaluated before exposure start, then 5 and 24 h after. During exposures volatile organic compounds (VOCs), particle size distributions, number concentrations and optical properties were measured. Generally, no statistically significant changes were observed in spirometry, FeNO, or nasal volume comparing cooking and candle exposures to clean air. In males, nasal volume and FeNO decreased after exposure to cooking and candles, respectively. Participants reported additional and more pronounced symptoms during exposure to cooking and candles compared to clean air. The results indicate that emissions from cooking and candles exert mild inflammation in asthmatic males and decrease comfort among asthmatic males and females.