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1.
Nature ; 629(8011): 295-306, 2024 May.
Artículo en Inglés | MEDLINE | ID: mdl-38720037

RESUMEN

Fossil fuels-coal, oil and gas-supply most of the world's energy and also form the basis of many products essential for everyday life. Their use is the largest contributor to the carbon dioxide emissions that drive global climate change, prompting joint efforts to find renewable alternatives that might enable a carbon-neutral society by as early as 2050. There are clear paths for renewable electricity to replace fossil-fuel-based energy, but the transport fuels and chemicals produced in oil refineries will still be needed. We can attempt to close the carbon cycle associated with their use by electrifying refinery processes and by changing the raw materials that go into a refinery from fossils fuels to carbon dioxide for making hydrocarbon fuels and to agricultural and municipal waste for making chemicals and polymers. We argue that, with sufficient long-term commitment and support, the science and technology for such a completely fossil-free refinery, delivering the products required after 2050 (less fuels, more chemicals), could be developed. This future refinery will require substantially larger areas and greater mineral resources than is the case at present and critically depends on the capacity to generate large amounts of renewable energy for hydrogen production and carbon dioxide capture.


Asunto(s)
Dióxido de Carbono , Combustibles Fósiles , Industria del Petróleo y Gas , Energía Renovable , Ciclo del Carbono , Dióxido de Carbono/efectos adversos , Dióxido de Carbono/aislamiento & purificación , Carbón Mineral/efectos adversos , Carbón Mineral/provisión & distribución , Combustibles Fósiles/efectos adversos , Combustibles Fósiles/provisión & distribución , Hidrógeno/química , Gas Natural/efectos adversos , Gas Natural/provisión & distribución , Petróleo/efectos adversos , Petróleo/provisión & distribución , Energía Renovable/estadística & datos numéricos , Industria del Petróleo y Gas/métodos , Industria del Petróleo y Gas/tendencias
2.
Proc Natl Acad Sci U S A ; 118(7)2021 02 16.
Artículo en Inglés | MEDLINE | ID: mdl-33558224

RESUMEN

Socioeconomic development in low- and middle-income countries has been accompanied by increased emissions of air pollutants, such as nitrogen oxides [NOx: nitrogen dioxide (NO2) + nitric oxide (NO)], which affect human health. In sub-Saharan Africa, fossil fuel combustion has nearly doubled since 2000. At the same time, landscape biomass burning-another important NOx source-has declined in north equatorial Africa, attributed to changes in climate and anthropogenic fire management. Here, we use satellite observations of tropospheric NO2 vertical column densities (VCDs) and burned area to identify NO2 trends and drivers over Africa. Across the northern ecosystems where biomass burning occurs-home to hundreds of millions of people-mean annual tropospheric NO2 VCDs decreased by 4.5% from 2005 through 2017 during the dry season of November through February. Reductions in burned area explained the majority of variation in NO2 VCDs, though changes in fossil fuel emissions also explained some variation. Over Africa's biomass burning regions, raising mean GDP density (USD⋅km-2) above its lowest levels is associated with lower NO2 VCDs during the dry season, suggesting that economic development mitigates net NO2 emissions during these highly polluted months. In contrast to the traditional notion that socioeconomic development increases air pollutant concentrations in low- and middle-income nations, our results suggest that countries in Africa's northern biomass-burning region are following a different pathway during the fire season, resulting in potential air quality benefits. However, these benefits may be lost with increasing fossil fuel use and are absent during the rainy season.


Asunto(s)
Atmósfera/química , Combustibles Fósiles/estadística & datos numéricos , Óxido Nítrico/análisis , África Central , Contaminación del Aire/estadística & datos numéricos , Biomasa , Combustibles Fósiles/efectos adversos , Óxido Nítrico/química
3.
Environ Res ; 219: 115117, 2023 02 15.
Artículo en Inglés | MEDLINE | ID: mdl-36549492

RESUMEN

BACKGROUND: Emerging evidence links outdoor air pollution and declined renal function but the relationship between household air pollution and renal function is not well understood. METHODS: Using cross-sectional data from the multi-provincial INTERMAP-China Prospective Study, we collected blood samples and questionnaire information on stove use and socio-demographic factors. We calculated estimated glomerular filtration rate (eGFR) from serum creatinine to assess renal function. Participants with eGFR <60 mL/min per 1.73 m2 were defined as having chronic kidney disease (CKD) in this analysis. Generalized estimating equations were used to estimate the association of household fuel with renal function and prevalent CKD in models adjusting for confounders. RESULTS: Among the 646 enrolled adults (40-79y; 56% female), one-third exclusively used clean fuel (gas and electric) cookstoves and 11% of northern China participants (n = 49 of 434) used only clean fuel heaters, whereas the rest used solid fuel. In multivariable models, use of solid fuel cookstoves was associated with 0.17 ml/min/1.73 m2 (95% CI: -0.30, 0.64) higher eGFR and 19% (0.86, 1.64) higher prevalence of CKD than exclusive clean fuel use. Greater intensity of solid fuel use was associated with 0.25 ml/min/1.73 m2 (-0.71, 0.21) lower eGFR per 5 stove-use years, though the confidence intervals included the null, while greater current intensity of indoor solid fuel use was associated with 1.02 (1.00, 1.04) higher prevalent CKD per 100 stove-use days per year. Larger associations between current solid fuel use and intensity of use with lower eGFR and prevalent CKD were observed among participants in southern China, those with hypertension or diabetes (eGFR only), and females (CKD only), through these groups had small sample sizes and some confidence intervals included the null. CONCLUSION: We found inconsistent evidence associating household solid fuel use and renal function in this cross-sectional study of peri-urban Chinese adults.


Asunto(s)
Contaminación del Aire Interior , Contaminación del Aire , Combustibles Fósiles , Insuficiencia Renal Crónica , Anciano , Femenino , Humanos , Masculino , China/epidemiología , Estudios Transversales , Tasa de Filtración Glomerular , Riñón/fisiología , Estudios Prospectivos , Insuficiencia Renal Crónica/inducido químicamente , Insuficiencia Renal Crónica/epidemiología , Combustibles Fósiles/efectos adversos
4.
Proc Natl Acad Sci U S A ; 117(45): 27862-27868, 2020 11 10.
Artículo en Inglés | MEDLINE | ID: mdl-33093199

RESUMEN

Fossil-fuel emissions may impact phytoplankton primary productivity and carbon cycling by supplying bioavailable Fe to remote areas of the ocean via atmospheric aerosols. However, this pathway has not been confirmed by field observations of anthropogenic Fe in seawater. Here we present high-resolution trace-metal concentrations across the North Pacific Ocean (158°W from 25°to 42°N). A dissolved Fe maximum was observed around 35°N, coincident with high dissolved Pb and Pb isotope ratios matching Asian industrial sources and confirming recent aerosol deposition. Iron-stable isotopes reveal in situ evidence of anthropogenic Fe in seawater, with low δ56Fe (-0.23‰ > δ56Fe > -0.65‰) observed in the region that is most influenced by aerosol deposition. An isotope mass balance suggests that anthropogenic Fe contributes 21-59% of dissolved Fe measured between 35° and 40°N. Thus, anthropogenic aerosol Fe is likely to be an important Fe source to the North Pacific Ocean.


Asunto(s)
Contaminantes Atmosféricos/análisis , Combustibles Fósiles/efectos adversos , Aerosoles/análisis , Asia , Monitoreo del Ambiente/métodos , Hierro/efectos adversos , Isótopos de Hierro/efectos adversos , Océano Pacífico , Fitoplancton/efectos de los fármacos , Fitoplancton/metabolismo , Agua de Mar/análisis , Agua de Mar/química , Oligoelementos/efectos adversos
7.
Proc Natl Acad Sci U S A ; 116(15): 7192-7197, 2019 04 09.
Artículo en Inglés | MEDLINE | ID: mdl-30910976

RESUMEN

Anthropogenic greenhouse gases and aerosols are associated with climate change and human health risks. We used a global model to estimate the climate and public health outcomes attributable to fossil fuel use, indicating the potential benefits of a phaseout. We show that it can avoid an excess mortality rate of 3.61 (2.96-4.21) million per year from outdoor air pollution worldwide. This could be up to 5.55 (4.52-6.52) million per year by additionally controlling nonfossil anthropogenic sources. Globally, fossil-fuel-related emissions account for about 65% of the excess mortality, and 70% of the climate cooling by anthropogenic aerosols. The chemical influence of air pollution on aeolian dust contributes to the aerosol cooling. Because aerosols affect the hydrologic cycle, removing the anthropogenic emissions in the model increases rainfall by 10-70% over densely populated regions in India and 10-30% over northern China, and by 10-40% over Central America, West Africa, and the drought-prone Sahel, thus contributing to water and food security. Since aerosols mask the anthropogenic rise in global temperature, removing fossil-fuel-generated particles liberates 0.51(±0.03) °C and all pollution particles 0.73(±0.03) °C warming, reaching around 2 °C over North America and Northeast Asia. The steep temperature increase from removing aerosols can be moderated to about 0.36(±0.06) °C globally by the simultaneous reduction of tropospheric ozone and methane. We conclude that a rapid phaseout of fossil-fuel-related emissions and major reductions of other anthropogenic sources are needed to save millions of lives, restore aerosol-perturbed rainfall patterns, and limit global warming to 2 °C.


Asunto(s)
Cambio Climático , Combustibles Fósiles/efectos adversos , Gases de Efecto Invernadero/efectos adversos , Mortalidad , Salud Pública , Asia , Humanos , América del Norte
8.
Bull World Health Organ ; 99(6): 439-445, 2021 Jun 01.
Artículo en Inglés | MEDLINE | ID: mdl-34108754

RESUMEN

OBJECTIVE: To assess the characteristics of cooking-related burn injuries in children reported to the World Health Organization Global Burn Registry. METHODS: On 1 February 2021, we downloaded data from the Global Burn Registry on demographic and clinical characteristics of patients younger than 19 years. We performed multivariate regressions to identify risk factors predictive of mortality and total body surface area affected by burns. FINDINGS: Of the 2957 paediatric patients with burn injuries, 974 involved cooking (32.9%). More burns occurred in boys (532 patients; 54.6%) than in girls, and in children 2 years and younger (489 patients; 50.2%). Accidental contact and liquefied petroleum caused most burn injuries (729 patients; 74.8% and 293 patients; 30.1%, respectively). Burn contact by explosions (odds ratio, OR: 2.8; 95% confidence interval, CI: 1.4-5.7) or fires in the cooking area (OR: 3.0; 95% CI: 1.3-6.8), as well as the cooking fuels wood (OR: 2.2; 95 CI%: 1.3-3.4), kerosene (OR: 1.9; 95% CI: 1.0-3.6) or natural gas (OR: 1.5; 95% CI: 1.0-2.2) were associated with larger body surface area affected. Mortality was associated with explosions (OR: 7.5; 95% CI: 2.2-25.9) and fires in the cooking area (OR: 6.9; 95% CI: 1.9-25.7), charcoal (OR: 4.6; 95% CI: 2.0-10.5), kerosene (OR: 3.9; 95% CI: 1.4-10.8), natural gas (OR: 3.0; 95% CI: 1.5-6.1) or wood (OR: 2.8; 95% CI: 1.1-7.1). CONCLUSION: Preventive interventions directed against explosions, fires in cooking areas and hazardous cooking fuels should be implemented to reduce morbidity and mortality from cooking-related burn injuries.


Asunto(s)
Accidentes Domésticos , Quemaduras/etiología , Culinaria/métodos , Combustibles Fósiles/efectos adversos , Quemaduras/epidemiología , Niño , Carbón Mineral/efectos adversos , Femenino , Humanos , Masculino , Gas Natural/efectos adversos , Petróleo/efectos adversos , Sistema de Registros , Factores de Riesgo , Organización Mundial de la Salud
9.
Epidemiol Infect ; 150: e1, 2021 11 16.
Artículo en Inglés | MEDLINE | ID: mdl-34782027

RESUMEN

This paper demonstrates how the combustion of fossil fuels for transport purpose might cause health implications. Based on an original case study [i.e. the Hubei province in China, the epicentre of the coronavirus disease-2019 (COVID-19) pandemic], we collected data on atmospheric pollutants (PM2.5, PM10 and CO2) and economic growth (GDP), along with daily series on COVID-19 indicators (cases, resuscitations and deaths). Then, we adopted an innovative Machine Learning approach, applying a new image Neural Networks model to investigate the causal relationships among economic, atmospheric and COVID-19 indicators. Empirical findings emphasise that any change in economic activity is found to substantially affect the dynamic levels of PM2.5, PM10 and CO2 which, in turn, generates significant variations in the spread of the COVID-19 epidemic and its associated lethality. As a robustness check, the conduction of an optimisation algorithm further corroborates previous results.


Asunto(s)
Contaminantes Atmosféricos/efectos adversos , Contaminación del Aire/efectos adversos , COVID-19/mortalidad , Combustibles Fósiles/efectos adversos , Producto Interno Bruto/estadística & datos numéricos , Redes Neurales de la Computación , Dióxido de Carbono/efectos adversos , China/epidemiología , Desarrollo Económico/estadística & datos numéricos , Humanos , Material Particulado/efectos adversos
10.
Int J Mol Sci ; 22(23)2021 Nov 30.
Artículo en Inglés | MEDLINE | ID: mdl-34884770

RESUMEN

Nitrogen oxides (NOx) are among the main atmospheric pollutants; therefore, it is important to monitor and detect their presence in the atmosphere. To this end, low-dimensional carbon structures have been widely used as NOx sensors for their outstanding properties. In particular, carbon nanotubes (CNTs) have been widely used as toxic-gas sensors owing to their high specific surface area and excellent mechanical properties. Although pristine CNTs have shown promising performance for NOx detection, several strategies have been developed such as surface functionalization and defect engineering to improve the NOx sensing of pristine CNT-based sensors. Through these strategies, the sensing properties of modified CNTs toward NOx gases have been substantially improved. Therefore, in this review, we have analyzed the defect engineering and surface functionalization strategies used in the last decade to modify the sensitivity and the selectivity of CNTs to NOx. First, the different types of surface functionalization and defect engineering were reviewed. Thereafter, we analyzed experimental, theoretical, and coupled experimental-theoretical studies on CNTs modified through surface functionalization and defect engineering to improve the sensitivity and selectivity to NOx. Finally, we presented the conclusions and the future directions of modified CNTs as NOx sensors.


Asunto(s)
Contaminantes Atmosféricos/análisis , Monitoreo del Ambiente/métodos , Nanotubos de Carbono/química , Óxidos de Nitrógeno/análisis , Contaminación del Aire/análisis , Combustibles Fósiles/efectos adversos , Nanotecnología , Emisiones de Vehículos/análisis
13.
Am J Respir Crit Care Med ; 199(3): 352-361, 2019 02 01.
Artículo en Inglés | MEDLINE | ID: mdl-30235936

RESUMEN

RATIONALE: Little evidence from large-scale cohort studies exists about the relationship of solid fuel use with hospitalization and mortality from major respiratory diseases. OBJECTIVES: To examine the associations of solid fuel use and risks of acute and chronic respiratory diseases. METHODS: A cohort study of 277,838 Chinese never-smokers with no prior major chronic diseases at baseline. During 9 years of follow-up, 19,823 first hospitalization episodes or deaths from major respiratory diseases, including 10,553 chronic lower respiratory disease (CLRD), 4,398 chronic obstructive pulmonary disease (COPD), and 7,324 acute lower respiratory infection (ALRI), were recorded. Cox regression yielded adjusted hazard ratios (HRs) for disease risks associated with self-reported primary cooking fuel use. MEASUREMENTS AND MAIN RESULTS: Overall, 91% of participants reported regular cooking, with 52% using solid fuels. Compared with clean fuel users, solid fuel users had an adjusted HR of 1.36 (95% confidence interval, 1.32-1.40) for major respiratory diseases, whereas those who switched from solid to clean fuels had a weaker HR (1.14, 1.10-1.17). The HRs were higher in wood (1.37, 1.33-1.41) than coal users (1.22, 1.15-1.29) and in those with prolonged use (≥40 yr, 1.54, 1.48-1.60; <20 yr, 1.32, 1.26-1.39), but lower among those who used ventilated than nonventilated cookstoves (1.22, 1.19-1.25 vs. 1.29, 1.24-1.35). For CLRD, COPD, and ALRI, the HRs associated with solid fuel use were 1.47 (1.41-1.52), 1.10 (1.03-1.18), and 1.16 (1.09-1.23), respectively. CONCLUSIONS: Among Chinese adults, solid fuel use for cooking was associated with higher risks of major respiratory disease admissions and death, and switching to clean fuels or use of ventilated cookstoves had lower risk than not switching.


Asunto(s)
Contaminación del Aire Interior/efectos adversos , Culinaria , Trastornos Respiratorios/etiología , Humo/efectos adversos , Adulto , Anciano , China , Carbón Mineral/efectos adversos , Estudios de Cohortes , Femenino , Estudios de Seguimiento , Combustibles Fósiles/efectos adversos , Humanos , Masculino , Persona de Mediana Edad , Factores de Riesgo
14.
Glob Chang Biol ; 25(6): 2009-2020, 2019 06.
Artículo en Inglés | MEDLINE | ID: mdl-30854759

RESUMEN

Increasing global energy demands have led to the ongoing intensification of hydrocarbon extraction from marine areas. Hydrocarbon extractive activities pose threats to native marine biodiversity, such as noise, light, and chemical pollution, physical changes to the sea floor, invasive species, and greenhouse gas emissions. Here, we assessed at a global scale the spatial overlap between offshore hydrocarbon activities and marine biodiversity (>25,000 species, nine major ecosystems, and marine protected areas), and quantify the changes over time. We discovered that two-thirds of global offshore hydrocarbon activities occur in areas within the top 10% for species richness, range rarity, and proportional range rarity values globally. Thus, while hydrocarbon activities are undertaken in less than one percent of the ocean's area, they overlap with approximately 85% of all assessed species. Of conservation concern, 4% of species with the largest proportion of their range overlapping hydrocarbon activities are range restricted, potentially increasing their vulnerability to localized threats such as oil spills. While hydrocarbon activities have extended to greater depths since the mid-1990s, we found that the largest overlap is with coastal ecosystems, particularly estuaries, saltmarshes and mangroves. Furthermore, in most countries where offshore hydrocarbon exploration licensing blocks have been delineated, they do not overlap with marine protected areas (MPAs). Although this is positive in principle, many countries have far more licensing block areas than protected areas, and in some instances, MPA coverage is minimal. These findings suggest the need for marine spatial prioritization to help limit future spatial overlap between marine conservation priorities and hydrocarbon activities. Such prioritization can be informed by the spatial and quantitative baseline information provided here. In increasingly shared seascapes, prioritizing management actions that set both conservation and development targets could help minimize further declines of biodiversity and environmental changes at a global scale.


Asunto(s)
Organismos Acuáticos , Biodiversidad , Conservación de los Recursos Naturales , Yacimiento de Petróleo y Gas , Animales , Ecosistema , Estuarios , Combustibles Fósiles/efectos adversos , Hidrocarburos
15.
Environ Res ; 172: 55-72, 2019 05.
Artículo en Inglés | MEDLINE | ID: mdl-30771627

RESUMEN

BACKGROUND: Fossil fuel combustion by-products, including particulate matter (PM2.5), polycyclic aromatic hydrocarbons (PAH), nitrogen dioxide (NO2) and carbon dioxide (CO2), are a significant threat to children's health and equality. Various policies to reduce emissions have been implemented to reduce air pollution and mitigate climate change, with sizeable estimated health and economic benefits. However, only a few adverse outcomes in children have been considered, resulting in an undercounting of the benefits to this vulnerable population. OBJECTIVES: Our goal was to expand the suite of child health outcomes addressed by programs to assess health and economic benefits, such as the Environmental Protection Agency (EPA) Benefits Mapping and Analysis Program (BenMAP), by identifying concentration-response (C-R) functions for six outcomes related to PM2.5, NO2, PAH, and/or PM10: preterm birth (PTB), low birthweight (LBW), autism, attention deficit hyperactivity disorder, IQ reduction, and the development of childhood asthma. METHODS: We conducted a systematic review of the literature published between January 1, 2000 and April 30, 2018 to identify relevant peer-reviewed case-control and cohort studies and meta-analyses. In some cases meta-analyses were available that provided reliable C-R functions and we assessed their consistency with subsequent studies. Otherwise, we reviewed all eligible studies published between our search dates. RESULTS: For each pollutant and health outcome, we present the characteristics of each selected study. We distinguish between C-R functions for endpoints having a causal or likely relationship (PTB, LBW, autism, asthma development) with the pollutants for incorporation into primary analyses and endpoints having a suggestive causal relationship with the pollutants (IQ reduction, ADHD) for secondary analyses. CONCLUSION: We have identified C-R functions for a number of adverse health outcomes in children associated with air pollutants largely from fossil fuel combustion. Their incorporation into expanded assessments of health benefits of clean air and climate mitigation policies will provide an important incentive for preventive action.


Asunto(s)
Contaminación del Aire , Salud Infantil , Cambio Climático , Combustibles Fósiles , Contaminación del Aire/efectos adversos , Contaminación del Aire/prevención & control , Salud Infantil/normas , Exposición a Riesgos Ambientales/prevención & control , Femenino , Combustibles Fósiles/efectos adversos , Humanos , Embarazo , Medición de Riesgo
17.
JAMA ; 331(15): 1318-1319, 2024 04 16.
Artículo en Inglés | MEDLINE | ID: mdl-38506835

RESUMEN

This JAMA Insights in the Climate Change and Health series discusses the importance of clinicians having awareness of changes in the geographic range, seasonality, and intensity of transmission of infectious diseases to help them diagnose, treat, and prevent these diseases.


Asunto(s)
Cambio Climático , Enfermedades Transmisibles , Humanos , Enfermedades Transmisibles/diagnóstico , Enfermedades Transmisibles/epidemiología , Procesos Climáticos , Clima Extremo , Incendios Forestales , Gases de Efecto Invernadero/efectos adversos , Combustibles Fósiles/efectos adversos , Vectores de Enfermedades , Zoonosis/epidemiología , Micosis/epidemiología , Enfermedades Transmitidas por el Agua/epidemiología , Educación Médica , Política Pública
18.
Environ Monit Assess ; 191(4): 202, 2019 Mar 02.
Artículo en Inglés | MEDLINE | ID: mdl-30826990

RESUMEN

Life cycle assessment (LCA) had proven to be an appropriate assessment tool for analysis of agro-ecosystems by identifying, quantifying, and evaluating the resources consumed and released into the environment. In order to assess the relevant environmental impacts of rice agro-ecosystems due to a specific process, using LCA method, two factors concerned with resource utilization and contaminant emissions were calculated in north of Iran during 2016 and 2017. All the management practices/inputs were monitored and recorded with the help of local experts without interference in farmer's practices. After preliminary evaluation, 100 paddy fields were selected in three planting systems (low input, conventional, and high input) which were predicted in two planting methods (semi-mechanized and traditional) in small, medium, and large farm size levels. Functional unit was considered as one ton paddy yield. The finding revealed that in both regions, all the impact categories and environmental pollutant were almost same and farmer's management practices are close to each other. Also, climate change (CC) in Amol and Rasht regions was 277.21 and 275.79 kg CO2 eq., respectively. The most CC, global warming potential (GWP 100a), and cumulative energy demand (CED) in both regions were observed in high-input system for semi-mechanized method. Furthermore, the result for the impact categories of terrestrial acidification (TA), freshwater eutrophication (FE), marine eutrophication (ME), agricultural land occupation (ALO), water depletion (WD), metal depletion (MD), and fossil depletion (FD) was similar to the CC, GWP, and CED where the highest amounts in both regions statistically went to high-input system, traditional planting method, and small farms. Moreover, in both regions, high-input and conventional systems emitted higher heavy metals than low-input system. Furthermore, the most heavy metal emission in the air was achieved in small farm, and medium farm got the next rank. Additionally, the high consumption of chemical inputs, such as fossil fuels and fertilizers, in the high-input and conventional systems led to an increase of environmental pollutant in comparison with low-input systems. Therefore, to increase the sustainability of agro-ecosystems, as well as to reduce the environmental impacts of pollutant, reforming the pattern of chemical input consumption and reducing the use of non-renewable energy sources are essential.


Asunto(s)
Contaminantes Atmosféricos/análisis , Monitoreo del Ambiente , Contaminación Ambiental/análisis , Eutrofización , Calentamiento Global , Metales Pesados/análisis , Oryza/crecimiento & desarrollo , Agricultura/métodos , Ecosistema , Ambiente , Fertilizantes , Combustibles Fósiles/efectos adversos , Irán , Pérdida de Ozono
19.
BMC Public Health ; 18(1): 1170, 2018 Oct 11.
Artículo en Inglés | MEDLINE | ID: mdl-30309329

RESUMEN

BACKGROUND: Indoor Air Pollution (IPA) is a serious environmental problem that can have detrimental effects on child health. In China, the major sources of indoor pollution are biomass fuel or solid cooking fuels and familial smoking. Previous studies posit that the effects of IAP on health outcomes may be worse for female children, but the empirical evidence has been mixed. METHODS: In this paper we use the China Health and Nutrition Survey to examine the association of solid fuel use and paternal smoking on acute respiratory infections (ARIs) in children focusing on child gender differences. We used conditional logistic regression to examine gender differences in incidents of ARIs in the 4 weeks prior to the survey collection. We modeled gender difference by including an interaction between child gender and solid fuel use and child gender and paternal smoking. We also conducted stratified analyses by child gender. RESULTS: When examining both genders together, female children exposed to solid fuel had an elevated risk of a ARIs, but the coefficient was not statistically significant. When using a stratified models by gender, female children had a higher risk of having ARIs in the past 4 weeks when exposed to solid fuels (OR=3.28; 95% CI 1.34-8.03) and paternal smoking (OR=2.27; 95% CI 1.08-4.77). Whereas neither exposure to solid fuel nor parental smoking had any significant influence on ARIs for male children. CONCLUSION: While many have hypothesized that female children may be more vulnerable to IAP, the empirical evidence has been limited. In our study we found empirical support for gender difference in the effects of solid cooking fuel use on ARIs. Gender differences in ARIs suggest that realized exposures, as opposed to ambient exposures, are likely higher for female children and are important to consider.


Asunto(s)
Contaminación del Aire Interior/efectos adversos , Culinaria/métodos , Combustibles Fósiles/efectos adversos , Infecciones del Sistema Respiratorio/epidemiología , Fumar/efectos adversos , Enfermedad Aguda , Biomasa , Niño , China/epidemiología , Femenino , Encuestas Epidemiológicas , Humanos , Modelos Logísticos , Masculino , Factores de Riesgo , Distribución por Sexo
20.
Matern Child Health J ; 22(1): 59-70, 2018 01.
Artículo en Inglés | MEDLINE | ID: mdl-28755047

RESUMEN

Objectives Household air pollution (HAP) is one of the leading causes of respiratory illness and deaths among young children in low and lower-middle income countries. This study examines for the first time trends in the association between HAP from cooking fuel and under-five mortality and measures the potential impact of interventions to reduce HAP using Nepal Demographic and Health Survey datasets (2001-2011). Methods A total of 17,780 living children across four age-groups (neonatal 0-28 days, post-neonatal 1-11 months, child 12-59 months and under-five 0-59 months) were included and multi-level logistic regression models were used for analyses. Population attributable fractions of key risk factors and potential impact fractions assessing the impact of previous interventions to reduce exposure prevalence were also calculated. Results Use of cooking fuel was associated with total under-five mortality (OR 2.19, 95% CI 1.37-3.51, P = 0.001) in Nepal, with stronger associations evident for sub-group analyses of neonatal mortality (OR 2.67, 95% CI 1.47-4.82, P = 0.001). Higher association was found in rural areas and for households without a separate kitchen using polluting fuel for cooking, and in women who had never breastfed for all age-groups of children. PIF estimates, assuming a 63% of reduction of HAP based on previously published interventions in Nepal, suggested that a burden of 40% of neonatal and 33% of under-five mortality cases associated with an indoor kitchen using polluting fuel could be avoidable. Conclusion Improved infrastructure and behavioral interventions could help reduce the pollution from cooking fuel in the household resulting in further reduction in under-five mortality in Nepal.


Asunto(s)
Contaminación del Aire Interior/prevención & control , Mortalidad del Niño , Exposición a Riesgos Ambientales/prevención & control , Combustibles Fósiles/efectos adversos , Mortalidad Infantil , Características de la Residencia , Adulto , Contaminación del Aire Interior/efectos adversos , Contaminación del Aire Interior/estadística & datos numéricos , Niño , Preescolar , Culinaria , Exposición a Riesgos Ambientales/efectos adversos , Exposición a Riesgos Ambientales/estadística & datos numéricos , Femenino , Vivienda , Humanos , Lactante , Recién Nacido , Masculino , Persona de Mediana Edad , Nepal/epidemiología , Pobreza , Factores de Riesgo , Población Rural , Población Urbana
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