quantification of indoor air pollution & estimating its...

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Quantification of Indoor Air Pollution & Estimating its Health Effects in Northwest Bangladesh Leah T. Le, Karen C. Chang, Abdullah Al Masud, Mohammad Alauddin, Mahmood Hossain, Philip K. Hopke, Zohir Chowdhury ETHOS Conference Kirkland, Washington January 28 th 30 th , 2011

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Quantification of Indoor Air

Pollution & Estimating its

Health Effects in

Northwest Bangladesh

Leah T. Le, Karen C. Chang, Abdullah Al Masud,

Mohammad Alauddin, Mahmood Hossain,

Philip K. Hopke, Zohir Chowdhury

ETHOS Conference

Kirkland, Washington

January 28th – 30th, 2011

Outline

Background

Motivation

Objectives

Methods

Results

CO & PM2.5 correlation

Health effects

Conclusion

Future Work

Where is Bangladesh?

• WHO’s Millennium Goal: Improve health in rural communities

• Install improved cookstove to reduce exposure to harmful air

pollutants.

• Epidemiological studies found links between

indoor air pollution (IAP) and

• Acute respiratory infection (ARI)

• ~25% of all deaths in children under five &

~40% of deaths in infants

• Chronic obstructive pulmonary disease (COPD)

• Lung cancer

• Affects everyone living in the house, namely women (cooks)

• Disconnection between knowledge of improved and un-improved

stoves before & after installation

• No detailed research done in Bangladesh, yet

What Inspired Us?

• Hypothesis:

• Improved stoves continue to produce low PM2.5

concentration 1 year after installation.

• Objectives:

1) Understand general IAP in Saidpur, Bangladesh

2) Characterize indoor air pollution 1 year after

installation of improved stoves

3) Focus on Carbon Monoxide & PM2.5

Concentrations

Relationships

Health Effects

What Did We Aim to Achieve?

What Stoves Did We Use? • Improved stoves designed by Bangladesh Council of

Science and Technology (BCST)

• Iron gate and chimney

• 3 model types: 1-pot, 2-pot, and 3-pot stance

• Thermal efficiency tested by Appropriate Rural

Technology Inc. (ARTI)

• Water boiling test

Start

Cold

Mud

Stove

(minutes)

BCST

Stove

(minutes)

1-pot 20 13

2-pot ND 18

Start Hot 1-pot 17 10

2-pot ND 13

What Did We Do?

Intensive monitoring:

• Measured for 4 days

•2 households

• BCST improved stove kitchen

• Traditional mud stove kitchen

• Purpose:

1) Check accuracy and reliability of co-located

instruments for cross-calibration with

industry accepted measurements

(gravimetric)

2) Detailed characterization of PM2.5 and CO in

kitchens of both stove types

What Else Did We Do? Extensive monitoring:

• Measured for 1 day

• 40 households

• 50% with BCST improved stove

• 50% with un-improved mud stove

• Purpose:

• Statistically quantify PM2.5 and CO

concentrations in both stove kitchens

(a) BCST Improved Stove (b) Un-improved Mud Stove

DUST TRAK Q-TRAK

UCB

HOBO

Instrumentation

Results from Intensive Monitoring?

Figure 1(a) Figure 1(b)

Figure 1(c)

What Else from Intensive Monitoring?

Elemental Carbon: 22-23%

Organic Matter: 45-47%

Chlorine: 16-20%

Potassium: 6-7%

Results from Extensive Monitoring?

Figure 3(a)

Figure 3(b)

CO to PM2.5 Correlation: CO

predictor of PM2.5?

Our Model: (Use CO as a proxy for PM2.5) Unimproved :

PM2.5 (mg/m3) = 0.54 (0.25, 0.83) x CO (mg/m3) + 1.09 (-0.02, 2.20), R2 = 0.74

Improved: PM2.5 (mg/m3) = 0.36 (0.26, 0.45) x CO (mg/m3) + 0.33 (-0.19, 0.84), R2 = 0.81

All Data: PM2.5 (mg/m3) = 0.37 (0.26, 0.49) x CO (mg/m3) + 0.71 (0.14, 1.28), R2 = 0.65

And?

PM2.5 (mg/m3) CO (mg/m3)

Mud Stove BCST Stove Mud Stove BCST Stove

Mean 1.92 1.38 4.90 2.97

Median 1.77 0.73 2.54 1.96

Standard Deviation 1.59 1.27 6.29 2.29

Standard Error 0.37 0.29 1.37 0.49

Minimum 0.22 0.11 0.23 0.28

Maximum 5.85 4.22 25.88 7.13

Range 5.63 4.11 25.65 6.85

Count, N 20 19 21 22

• Percent Reduction

• PM2.5 = 59%

• CO = 23%

What About Health Effects? • Relative Risk (RR) for cardiovascular disease (CDV) from

inhaling PM2.5 of indoor biomass burning (Smith & Peel, 2010)

• RR = 1.5

• 50% higher than normal

• Increased risk of chronic obstructive pulmonary disease

• Coexistence of COPD and CDV (Mannino & Buist, 2007)

• Soluble vs. Insoluble (Raabe et al., 1999)

• Soluble PM travels through bloodstream and GI tract, where

activation and deactivation of toxin and carcinogens occur

•Insoluble PM may cause bronchial irritation, foreshadowing

congestion, soreness, and cough

• Alveoli can swell, leading to coughing and shortness of

breath

What About Other Health Effects? • CO-COHb Relationship:

• X = 0.009 + 0.264(Y) for the mean (Lee et al., 1994)

• X is the percent (%) of COHb in blood

• Y is the breath CO concentration (ppm)

• 1-hr CO* exposure:

• Mud Stove: 10.63%

• BCST Stove: 8.80%

• 8-hr CO* exposure:

• Mud Stove: 3.84%

• BCST Stove: 2.49%

• Symptoms when COHb is less than 15-20%

• Nausea, vomiting, dizziness, blurred vision and headache

*Note: Mean CO concentration derived from values above median to show

maximum at risk potentiality.

What Can We Conclude? •59% & 23% reduction in PM2.5 & CO emission,

respectively, from improved stoves after 1 year. But not

significant

• Predominate chemical species: EC, OM, Chlorine, and

Potassium

• As long as they continue to be exposed to such CO &

PM2.5 concentrations, cooks are potentially suffering

from mild symptoms every day, all year, every year.

• Fuel use patterns and cooking practices seen in this

population are likely to be comparable to much of

Bangladesh.

What Does the Future Hold? • Call for stove design(s)

• Durable

•Affordable

• Culturally suitable

• Low maintenance

• Further investigation on larger scale to quantify IAP

from cookstoves in rural communities in Bangladesh

• Widespread installation of improved stoves throughout

the community, not just a few selected households

Special Thanks •Baby and Khadeza (field workers)

•Research Participants

•Concern Bangladesh, Inc.

•Mustafiza Hossain (Concern Worldwide in Saidpur,

Bangladesh)

•Berdine Heckmann (San Diego Air Pollution Control

District (SD APCD))

•ABM Zakaria (Exonics Technology Center (ETC) at Dhaka,

Bangladesh )

Contact: [email protected]

Thank you for your time.

Enjoy your day!

Contact: [email protected]