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Health and Household Air Pollution from Solid Fuel Use: The Need for Improved Exposure Assessment.

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Title: Health and Household Air Pollution from Solid Fuel Use: The Need for Improved Exposure Assessment.
Authors: Clark, Maggie L.1 Maggie.Clark@ColoState.edu, Peel, Jennifer L.1, Balakrishnan, Kalpana2, Breysse, Patrick N.3, Chillrud, Steven N.4, Naeher, Luke P.5, Rodes, Charles E.6, Vette, Alan F.7, Balbus, John M.8
Source: Environmental Health Perspectives. Oct2013, Vol. 121 Issue 10, p1120-1128. 9p. 1 Chart, 3 Graphs.
Subject Terms: *Air pollution, *Biomarkers, *Petroleum, Cooking, Medical research, Risk assessment, Adult education workshops, Home environment
Abstract: Background: Nearly 3 billion people worldwide rely on solid fuel combustion to meet basic household energy needs. The resulting exposure to air pollution causes an estimated 4.5% of the global burden of disease. Large variability and a lack of resources for research and development have resulted in highly uncertain exposure estimates. Objective: We sought to identify research priorities for exposure assessment that will more accurately and precisely define exposure-response relationships of household air pollution necessary to inform future cleaner-burning cookstove dissemination programs. Data Sources: As part of an international workshop in May 2011, an expert group characterized the state of the science and developed recommendations for exposure assessment of household air pollution. Synthesis: The following priority research areas were identified to explain variability and reduce uncertainty of household air pollution exposure measurements: improved characterization of spatial and temporal variability for studies examining both short- and long-term health effects; development and validation of measurement technology and approaches to conduct complex exposure assessments in resource-limited settings with a large range of pollutant concentrations; and development and validation of biomarkers for estimating dose. Addressing these priority research areas, which will inherently require an increased allocation of resources for cookstove research, will lead to better characterization of exposure-response relationships. Conclusions: Although the type and extent of exposure assessment will necessarily depend on the goal and design of the cookstove study, without improved understanding of exposure-response relationships, the level of air pollution reduction necessary to meet the health targets of cookstove interventions will remain uncertain. [ABSTRACT FROM AUTHOR]
Copyright of Environmental Health Perspectives is the property of National Institute of Environmental Health Sciences and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Health and Household Air Pollution from Solid Fuel Use: The Need for Improved Exposure Assessment.
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  Data: <searchLink fieldCode="AR" term="%22Clark%2C+Maggie+L%2E%22">Clark, Maggie L.</searchLink><relatesTo>1</relatesTo><i> Maggie.Clark@ColoState.edu</i><br /><searchLink fieldCode="AR" term="%22Peel%2C+Jennifer+L%2E%22">Peel, Jennifer L.</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Balakrishnan%2C+Kalpana%22">Balakrishnan, Kalpana</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Breysse%2C+Patrick+N%2E%22">Breysse, Patrick N.</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Chillrud%2C+Steven+N%2E%22">Chillrud, Steven N.</searchLink><relatesTo>4</relatesTo><br /><searchLink fieldCode="AR" term="%22Naeher%2C+Luke+P%2E%22">Naeher, Luke P.</searchLink><relatesTo>5</relatesTo><br /><searchLink fieldCode="AR" term="%22Rodes%2C+Charles+E%2E%22">Rodes, Charles E.</searchLink><relatesTo>6</relatesTo><br /><searchLink fieldCode="AR" term="%22Vette%2C+Alan+F%2E%22">Vette, Alan F.</searchLink><relatesTo>7</relatesTo><br /><searchLink fieldCode="AR" term="%22Balbus%2C+John+M%2E%22">Balbus, John M.</searchLink><relatesTo>8</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22Environmental+Health+Perspectives%22">Environmental Health Perspectives</searchLink>. Oct2013, Vol. 121 Issue 10, p1120-1128. 9p. 1 Chart, 3 Graphs.
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  Data: *<searchLink fieldCode="DE" term="%22Air+pollution%22">Air pollution</searchLink><br />*<searchLink fieldCode="DE" term="%22Biomarkers%22">Biomarkers</searchLink><br />*<searchLink fieldCode="DE" term="%22Petroleum%22">Petroleum</searchLink><br /><searchLink fieldCode="DE" term="%22Cooking%22">Cooking</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+research%22">Medical research</searchLink><br /><searchLink fieldCode="DE" term="%22Risk+assessment%22">Risk assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Adult+education+workshops%22">Adult education workshops</searchLink><br /><searchLink fieldCode="DE" term="%22Home+environment%22">Home environment</searchLink>
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  Data: Background: Nearly 3 billion people worldwide rely on solid fuel combustion to meet basic household energy needs. The resulting exposure to air pollution causes an estimated 4.5% of the global burden of disease. Large variability and a lack of resources for research and development have resulted in highly uncertain exposure estimates. Objective: We sought to identify research priorities for exposure assessment that will more accurately and precisely define exposure-response relationships of household air pollution necessary to inform future cleaner-burning cookstove dissemination programs. Data Sources: As part of an international workshop in May 2011, an expert group characterized the state of the science and developed recommendations for exposure assessment of household air pollution. Synthesis: The following priority research areas were identified to explain variability and reduce uncertainty of household air pollution exposure measurements: improved characterization of spatial and temporal variability for studies examining both short- and long-term health effects; development and validation of measurement technology and approaches to conduct complex exposure assessments in resource-limited settings with a large range of pollutant concentrations; and development and validation of biomarkers for estimating dose. Addressing these priority research areas, which will inherently require an increased allocation of resources for cookstove research, will lead to better characterization of exposure-response relationships. Conclusions: Although the type and extent of exposure assessment will necessarily depend on the goal and design of the cookstove study, without improved understanding of exposure-response relationships, the level of air pollution reduction necessary to meet the health targets of cookstove interventions will remain uncertain. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Environmental Health Perspectives is the property of National Institute of Environmental Health Sciences and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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              Text: Oct2013
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