ERS/ATS workshop report on respiratory health effects of household air pollution.

Sood, Akshay, Assad, Nour A, Barnes, Peter J, Churg, Andrew, Gordon, Stephen ORCID: https://orcid.org/0000-0001-6576-1116, Harrod, Kevin S, Irshad, Hammad, Kurmi, Om P, Martin, William J, Meek, Paula, Mortimer, Kevin ORCID: https://orcid.org/0000-0002-8118-8871, Noonan, Curtis W, Perez-Padilla, Rogelio, Smith, Kirk R, Tesfaigzi, Yohannes, Ward, Tony and Balmes, John (2018) 'ERS/ATS workshop report on respiratory health effects of household air pollution.'. European Respiratory Journal, Vol 51, Issue 1, e1700698.

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Abstract

Exposure to household air pollution (HAP) from solid fuel combustion affects almost half of the world population. Adverse respiratory outcomes such as respiratory infections, impaired lung growth and chronic obstructive pulmonary disease have been linked to HAP exposure. Solid fuel smoke is a heterogeneous mixture of various gases and particulates. Cell culture and animal studies with controlled exposure conditions and genetic homogeneity provide important insights into HAP mechanisms. Impaired bacterial phagocytosis in exposed human alveolar macrophages possibly mediates several HAP-related health effects. Lung pathological findings in HAP-exposed individuals demonstrate greater small airways fibrosis and less emphysema compared with cigarette smokers. Field studies using questionnaires, air pollution monitoring and/or biomarkers are needed to better establish human risks. Some, but not all, studies suggest that improving cookstove efficiency or venting emissions may be associated with reduced respiratory symptoms, lung function decline in women and severe pneumonia in children. Current studies focus on fuel switching, stove technology replacements or upgrades and air filter devices. Several governments have initiated major programmes to accelerate the upgrade from solid fuels to clean fuels, particularly liquid petroleum gas, which provides research opportunities for the respiratory health community. [Abstract copyright: Copyright ©ERS 2018.]

Item Type:	Article
Subjects:	WA Public Health > WA 30 Socioeconomic factors in public health (General) WA Public Health > Air pollution > WA 750 Air sanitation and hygiene WA Public Health > Air pollution > WA 754 Pollution and pollutants (incl. tobacco pollution; passive smoking) WF Respiratory System > WF 100 General works WF Respiratory System > WF 140 Diseases of the respiratory system (General) WF Respiratory System > Lungs > WF 600 Lungs
Faculty: Department:	Clinical Sciences & International Health > Clinical Sciences Department Clinical Sciences & International Health > Malawi-Liverpool-Wellcome Programme (MLW)
Digital Object Identifer (DOI):	https://doi.org/10.1183/13993003.00698-2017
SWORD Depositor:	JISC Pubrouter
Depositing User:	Stacy Murtagh
Date Deposited:	17 Jan 2018 16:44
Last Modified:	07 Oct 2019 08:24
URI:	https://archive.lstmed.ac.uk/id/eprint/8085

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