Nov 23, 2000

National burden of disease in India from indoor air pollution

Proceedings of the National Academy of Sciences of the United States of America
Kirk R Smith

Abstract

In the last decade, a number of quantitative epidemiological studies of specific diseases have been done in developing countries that for the first time allow estimation of the total burden of disease (mortality and morbidity) attributable to use of solid fuels in adult women and young children, who jointly receive the highest exposures because of their household roles. Few such studies are available as yet for adult men or children over 5 years. This paper evaluates the existing epidemiological studies and applies the resulting risks to the more than three-quarters of all Indian households dependent on such fuels. Allowance is made for the existence of improved stoves with chimneys and other factors that may lower exposures. Attributable risks are calculated in reference to the demographic conditions and patterns of each disease in India. Sufficient evidence is available to estimate risks most confidently for acute respiratory infections (ARI), chronic obstructive pulmonary disease (COPD), and lung cancer. Estimates for tuberculosis (TB), asthma, and blindness are of intermediate confidence. Estimates for heart disease have the lowest confidence. Insufficient quantitative evidence is currently available to estimate the impact ...Continue Reading

Mentioned in this Paper

Fossil Fuels
Morbidity Aspects
Tuberculosis
Acute Respiratory Infections
Blind Vision
Carcinoma of Lung
COPD pharmacologic substance
Lung Diseases, Obstructive
Respiratory Tract Infections
Asthma

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