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The Health Impacts of Exposure to Indoor Air Pollution from Solid Fuels in Developing Countries: Knowledge, Gaps, and Data Needs

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  • Ezzati, Majid
  • Kammen, Daniel

Abstract

Globally, almost three billion people rely on biomass (wood, charcoal, crop residues, and dung) and coal as their primary source of domestic energy. Exposure to indoor air pollution from the combustion of solid fuels has been implicated, with varying degrees of evidence, as a causal agent of of disease and mortality in developing countries. We review the current knowledge on the relationship between indoor air pollution and disease, and on the assessment of interventions for reducing exposure and disease. Our review takes an environmental health perspective and considers the details of both exposure and health effects that are needed for successful intervention strategies. We also identify knowledge gaps and detailed research questions that are essential for successful design and dissemination of preventive measures and policies. In addition to specific research recommendations, we conclude that given the central role of housing, household energy, and day-to-day household activities in determining exposure to indoor smoke, research and development of effective interventions can benefit tremendously from integration of methods and analysis tools from a range of disciplines—from quantitative environmental science and engineering, to toxicology and epidemiology, to the social sciences.

Suggested Citation

  • Ezzati, Majid & Kammen, Daniel, 2002. "The Health Impacts of Exposure to Indoor Air Pollution from Solid Fuels in Developing Countries: Knowledge, Gaps, and Data Needs," Discussion Papers dp-02-24, Resources For the Future.
  • Handle: RePEc:rff:dpaper:dp-02-24
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    References listed on IDEAS

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    1. Agarwal, Bina, 1983. "Diffusion of rural innovations: Some analytical issues and the case of wood-burning stoves," World Development, Elsevier, vol. 11(4), pages 359-376, April.
    2. James J. Heckman & Jeffrey A. Smith, 1995. "Assessing the Case for Social Experiments," Journal of Economic Perspectives, American Economic Association, vol. 9(2), pages 85-110, Spring.
    3. Ravindranath, N. H. & Ramakrishna, J., 1997. "Energy options for cooking in India," Energy Policy, Elsevier, vol. 25(1), pages 63-75, January.
    4. Masera, Omar R. & Saatkamp, Barbara D. & Kammen, Daniel M., 2000. "From Linear Fuel Switching to Multiple Cooking Strategies: A Critique and Alternative to the Energy Ladder Model," World Development, Elsevier, vol. 28(12), pages 2083-2103, December.
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    Keywords

    Household Energy; Developing Countries; Exposure Assessment; Exposure-Response Relationship; Indoor Air Pollution; Intervention; Public Health.;

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