Abstract
This study assessed the association between use of solid fuel in kitchen and ARI among under five children in Nepal. The latest data from the Nepal Demographic and Health Survey 2011 were used. A total of 4,802 under 5 de-jure children were included in this analysis. Cough accompanied by short/rapid breath and chest problem within 2 weeks before survey was considered as the symptoms of ARI. Logistic regression analysis was performed to calculate the odds of being suffered from ARI among the children from households using solid fuel in comparison to the children from households using cleaner fuel. About 84.6 % of the families used solid fuel as a primary fuel. Approximately 4.5 % children had symptoms of ARI within 2 weeks before the survey. About 3.4 and 4.9 % of children from the families using cleaner fuel and solid fuel respectively had symptoms of ARI within 2 weeks preceding survey. After adjusting for age, sex, birth order, urban/rural residence, ecological zone, development region, economic status, number of family members, mother’s smoking status and mother’s education, odds of suffering from ARI was 1.79 times higher among the children from the households using solid fuel in comparison to the children from households using cleaner fuel (95 % CI 1.02, 3.14). This study found the use of solid fuel in the kitchen has as a risk factor for ARI among under five children in Nepal. Longitudinal studies with direct measurement of indoor air pollution and clinical ARI cases can be future research priority.
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Williams, B. G., Gouws, E., Boschi-Pinto, C., Bryce, J., & Dye, C. (2002). Estimates of world-wide distribution of child deaths from acute respiratory infections. The Lancet Infectious Diseases, 2, 25–32.
Smith, K. R., Samet, J. M., Romieu, I., & Bruce, N. (2000). Indoor air pollution in developing countries and acute lower respiratory infections in children. Thorax, 55, 518–532.
Rudan, I., Boschi-Pinto, C., Biloglav, Z., Mulholland, K., & Campbell, H. (2008). Epidemiology and etiology of childhood pneumonia. Bulletin of the World Health Organization, 86, 408–416.
Nair, H., Simões, E. A., Rudan, I., Gessner, B. D., Azziz-Baumgartner, E., Zhang, J. S. F., et al. (2013). Global and regional burden of hospital admissions for severe acute lower respiratory infections in young children in 2010: A systematic analysis. The Lancet, 381, 1380–1390.
Onta, S., & Yenda, B. (1999). What do mothers know about acute respiratory infection: A case from eastern Nepal. Journal of the Institute of Medicine, 21, 1–190.
Department of Health Services, Ministry of Health and Population, Government of Nepal. (2013). Annual report 2011/12. In Book annual report 2011/12 (Eds.). City.
Pandey, M., Neupane, R., Gautam, A., & Shrestha, I. (1989). Domestic smoke pollution and acute respiratory infections in a rural community of the hill region of Nepal. Environment International, 15, 337–340.
Collings, D., Sithole, S., & Martin, K. (1990). Indoor woodsmoke pollution causing lower respiratory disease in children. Tropical Doctor, 20, 151–155.
Yadav, S., Khinchi, Y., Pan, A., Gupta, S., Shah, G., Baral, D., Poudel, P. (2013). Risk factors for acute respiratory infections in hospitalized under five children in central Nepal. Journal of Nepal Paediatric Society, 33, 39–44.
Joshi, S. (2006). Solid biomass fuel: Indoor air pollution and health effects. Kathmandu University Medical Journal, 4, 141–142.
Sood, A. (2012). Indoor fuel exposure and the lung in both developing and developed countries: An update. Clinics in Chest Medicine, 33, 649–665.
Ezzati, M., & Kammen, D. M. (2002). The health impacts of exposure to indoor air pollution from solid fuels in developing countries: Knowledge, gaps, and data needs. Environmental Health Perspectives, 110, 1057.
NEPAL: Indoor pollution proves deadly. http://www.irinnews.org/report/80182/nepal-indoor-pollution-proves-deadly. Accessed 25 April 2014.
Armstrong, J. R., & Campbell, H. (1991). Indoor air pollution exposure and lower respiratory infections in young gambian children. International Journal of Epidemiology, 20, 424–429.
Bates, M. N., Chandyo, R. K., Valentiner-Branth, P., Pokhrel, A. K., Mathisen, M., Basnet, S., et al. (2013). Acute lower respiratory infection in childhood and household fuel use in Bhaktapur, Nepal. Environmental Health Perspectives, 121, 637–642.
Thapa, B., & Chaurasia, N. (2014). Indoor air pollution due to inadequate ventilation and its impact on health among children of <5 years in Eastern Nepal. Journal of Nobel Medical College, 3, 35–39.
Kurmi, O. P., Devereux, G. S., Smith, W. C. S., Semple, S., Steiner, M. F., Simkhada, P., et al. (2013). Reduced lung function due to biomass smoke exposure in young adults in rural Nepal. European Respiratory Journal, 41, 25–30.
Pandey, M. (1984). Domestic smoke pollution and chronic bronchitis in a rural community of the Hill Region of Nepal. Thorax, 39, 337–339.
Ministry of Health and Population (MOHP). (2012). [Nepal], New ERA, Macro International Inc: Nepal demographic and health survey 2011. In Book Nepal demographic and health survey 2011 (Eds.), City.
Desai, M. A., Mehta, S., Smith, K. (2004). Indoor smoke from solid fuels. Assessing the Environmental Burden of Disease at National and Local Levels Environmental Burden of Disease Series 2004.
Smith, K. R., Mehta, S., & Maeusezahl-Feuz, M. (2004). Indoor air pollution from household use of solid fuels. Comparative Quantification of Health Risks: Global and Regional Burden of Disease Attributable to Selected Major Risk Factors, 2, 1435–1493.
Rehfuess, E. (2006). Organization WH: Fuel for life: Household energy and health.
Vyas, S., & Kumaranayake, L. (2006). Constructing socio-economic status indices: How to use principal components analysis. Health Policy and Planning, 21, 459–468.
Mishra, V. (2003). Indoor air pollution from biomass combustion and acute respiratory illness in preschool age children in Zimbabwe. International Journal of Epidemiology, 32, 847–853.
Mishra, V. K., & Retherford, R. D. (1997). Cooking smoke increases the risk of acute respiratory infection in children. Natioanal Family Health Survey Bulletin, 8, 1–4.
Mahalanabis, D., Gupta, S., Paul, D., Gupta, A., Lahiri, M., & Khaled, M. (2002). Risk factors for pneumonia in infants and young children and the role of solid fuel for cooking: A case-control study. Epidemiology and Infection, 129, 65–71.
Li, J. S., Peat, J. K., Xuan, W., & Berry, G. (1999). Meta-analysis on the association between environmental tobacco smoke (ETS) exposure and the prevalence of lower respiratory tract infection in early childhood. Pediatric Pulmonology, 27, 5–13.
Kurmi, O. P., Lam, K. B. H., & Ayres, J. G. (2012). Indoor air pollution and the lung in low-and medium-income countries. European Respiratory Journal, 40, 239–254.
Fick, R, Jr, Paul, E., Merrill, W., Reynolds, H., & Loke, J. (1984). Alterations in the antibacterial properties of rabbit pulmonary macrophages exposed to wood smoke. The American Review of Respiratory Disease, 129, 76–81.
Ghio, A. J., Soukup, J. M., Case, M., Dailey, L. A., Richards, J., Berntsen, J., et al. (2012). Exposure to wood smoke particles produces inflammation in healthy volunteers. Occupational and Environmental Medicine, 69, 170–175.
Ahmed, J. A., Katz, M. A., Auko, E., Njenga, M. K., Weinberg, M., Kapella, B. K., et al. (2012). Epidemiology of respiratory viral infections in two long-term refugee camps in Kenya, 2007–2010. BMC Infectious Diseases, 12, 7.
Chen, Y., Kirk, M. (2013). Incidence of acute respiratory infections in Australia. Epidemiology and infection, 1–7.
Lawn, J. E., Cousens, S., & Zupan, J. (2005). 4 Million neonatal deaths: When? Where? Why? The Lancet, 365, 891–900.
Pokhrel, A. K., Smith, K. R., Khalakdina, A., Deuja, A., & Bates, M. N. (2005). Case–control study of indoor cooking smoke exposure and cataract in Nepal and India. International Journal of Epidemiology, 34, 702–708.
Kadam, Y. R., Mimansa, A., Chavan, P. V., & Gore, A. D. (2013). Effect of prenatal exposure to kitchen fuel on birth weight. Indian Journal of Community Medicine: Official Publication of Indian Association of Preventive & Social Medicine, 38, 212.
Marmot, M. G., Kogevinas, M., & Elston, M. A. (1987). Social/economic status and disease. Annual Review of Public Health, 8, 111–135.
Case, A., Lubotsky, D., Paxson, C. (2001). Economic status and health in childhood: The origins of the gradient. In Book Economic Status and Health in Childhood: The Origins of the Gradient (Eds.). City: National Bureau of Economic Research.
Deb, S. (1998). Acute respiratory disease survey in Tripura in case of children below 5 years of age. Journal of the Indian Medical Association, 96, 111–116.
Selvaraj, K., Chinnakali, P., Majumdar, A., & Krishnan, I. S. (2014). Acute respiratory infections among under-5 children in India: A situational analysis. Journal of Natural Science, Biology, and Medicine, 5, 15.
Acknowledgments
We are grateful to Measure DHS program for permitting us to further analyze the Nepal Demographic and Health Survey 2011 dataset. We are thankful to Jessica Ohland for her contribution during the preparation of this manuscript.
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Acharya, P., Mishra, S.R. & Berg-Beckhoff, G. Solid Fuel in Kitchen and Acute Respiratory Tract Infection Among Under Five Children: Evidence from Nepal Demographic and Health Survey 2011. J Community Health 40, 515–521 (2015). https://doi.org/10.1007/s10900-014-9965-0
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DOI: https://doi.org/10.1007/s10900-014-9965-0