1.Biomass-fuelled improved cookstove intervention to prevent household air pollution in Northwest Ethiopia: a cluster randomized controlled trial.
Mesafint Molla ADANE ; Getu Degu ALENE ; Seid Tiku MERETA
Environmental Health and Preventive Medicine 2021;26(1):1-1
BACKGROUND:
Household air pollution from biomass fuels burning in traditional cookstoves currently appeared as one of the most serious threats to public health with a recent burden estimate of 2.6 million premature deaths every year worldwide, ranking highest among environmental risk factors and one of the major risk factors of any type globally. Improved cookstove interventions have been widely practiced as potential solutions. However, studies on the effect of improved cookstove interventions are limited and heterogeneous which suggested the need for further research.
METHODS:
A cluster randomized controlled trial study was conducted to assess the effect of biomass-fuelled improved cookstove intervention on the concentration of household air pollution compared with the continuation of an open burning traditional cookstove. A total of 36 clusters were randomly allocated to both arms at a 1:1 ratio, and improved cookstove intervention was delivered to all households allocated into the treatment arm. All households in the included clusters were biomass fuel users and relatively homogenous in terms of basic socio-demographic and cooking-related characteristics. Household air pollution was determined by measuring the concentration of indoor fine particulate, and the effect of the intervention was estimated using the Generalized Estimating Equation.
RESULTS:
A total of 2031 household was enrolled in the study across 36 randomly selected clusters in both arms, among which data were obtained from a total of 1977 households for at least one follow-up visit which establishes the intention-to-treat population dataset for analysis. The improved cookstove intervention significantly reduces the concentration of household air pollution by about 343 μg/m
CONCLUSIONS:
The biomass-fuelled improved cookstove intervention significantly reduces the concentration of household air pollution compared to the traditional method. This suggests that the implementation of these cookstove technologies may be necessary to achieve household air pollution exposure reductions.
TRIAL REGISTRATION
The trial project was retrospectively registered on August 2, 2018, at the clinical trials.gov registry database ( https://clinicaltrials.gov/ ) with the NCT03612362 registration identifier number.
Air Pollutants/analysis*
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Air Pollution, Indoor/prevention & control*
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Biomass
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Cluster Analysis
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Cooking/methods*
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Ethiopia
2.Revision and prospect of "Standards for indoor air quality(GB/T 18883-2022)" in China.
Chinese Journal of Preventive Medicine 2023;57(11):1725-1728
The formulation and revision of the detection methods of indoor air quality standards is an important, rigorous and delicate endeavor. The standards for indoor air quality (GB/T 18883-2022) were issued by the State Administration of Market Regulation and the Standardization Administration on July 11, 2022, and implemented on February 1, 2023 by replacing indoor air quality standards (GB/T 18883-2002). The revised standard specifies hygienic requirements for physical, chemical, biological and radioactive indicators in indoor air and the corresponding test methods. This article interpreted the revision background, drafting principles, main indicators and methods, as well as the revision basis of the standards. Recommendations for the implementation of the standards are also proposed.
Humans
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Air Pollution, Indoor/prevention & control*
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Environmental Monitoring
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Reference Standards
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China
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Air Pollutants/analysis*
3.Study on revision of standard limits for benzene in"Standards for indoor air quality(GB/T 18883-2022)"in China.
Guo Min CHEN ; Tian Tian LI ; Yan Jun DU ; Shuai JIANG ; Dao Kui FANG ; Xiao Heng LI ; Ning LIU ; Shu Yuan YU
Chinese Journal of Preventive Medicine 2023;57(11):1752-1755
Benzene, as a major indoor pollutant, has received widespread attention. In order to better control indoor benzene pollution and protect people's health, the limit value of benzene in the"Standards for indoor air quality (GB/T 18883-2022)'' was reduced from 0.11 mg/m3 to 0.03 mg/m3. This study reviewed and discussed the relevant technical contents of the determination of benzene limit value, including the exposure status of benzene, health effects, and derivation of the limit value. It also proposed prospects for the future direction of formulating indoor air benzene standards.
Humans
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Air Pollution, Indoor/prevention & control*
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Benzene/analysis*
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Air Pollutants/analysis*
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Environmental Pollutants
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China
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Environmental Monitoring
4.Revision and prospect of "Standards for indoor air quality(GB/T 18883-2022)" in China.
Chinese Journal of Preventive Medicine 2023;57(11):1725-1728
The formulation and revision of the detection methods of indoor air quality standards is an important, rigorous and delicate endeavor. The standards for indoor air quality (GB/T 18883-2022) were issued by the State Administration of Market Regulation and the Standardization Administration on July 11, 2022, and implemented on February 1, 2023 by replacing indoor air quality standards (GB/T 18883-2002). The revised standard specifies hygienic requirements for physical, chemical, biological and radioactive indicators in indoor air and the corresponding test methods. This article interpreted the revision background, drafting principles, main indicators and methods, as well as the revision basis of the standards. Recommendations for the implementation of the standards are also proposed.
Humans
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Air Pollution, Indoor/prevention & control*
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Environmental Monitoring
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Reference Standards
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China
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Air Pollutants/analysis*
5.Study on revision of standard limits for benzene in"Standards for indoor air quality(GB/T 18883-2022)"in China.
Guo Min CHEN ; Tian Tian LI ; Yan Jun DU ; Shuai JIANG ; Dao Kui FANG ; Xiao Heng LI ; Ning LIU ; Shu Yuan YU
Chinese Journal of Preventive Medicine 2023;57(11):1752-1755
Benzene, as a major indoor pollutant, has received widespread attention. In order to better control indoor benzene pollution and protect people's health, the limit value of benzene in the"Standards for indoor air quality (GB/T 18883-2022)'' was reduced from 0.11 mg/m3 to 0.03 mg/m3. This study reviewed and discussed the relevant technical contents of the determination of benzene limit value, including the exposure status of benzene, health effects, and derivation of the limit value. It also proposed prospects for the future direction of formulating indoor air benzene standards.
Humans
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Air Pollution, Indoor/prevention & control*
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Benzene/analysis*
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Air Pollutants/analysis*
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Environmental Pollutants
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China
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Environmental Monitoring
7.Study of the volatilization inhibitor for formalin.
Yi QIN ; Zhongyi HE ; Xiaojun WANG ; Xuwen JIAO ; Yujun WEN ; Huaiqin HAN ; Bo DAI ; Wanbin YUAN
Chinese Journal of Industrial Hygiene and Occupational Diseases 2002;20(3):206-207
OBJECTIVETo find an inhibitor to reduce the volatilization of formalin.
METHODThe saturated solution of sodium hydrosulphite (SHS) was sprayed on the surface of the anatomy specimens, then the concentration of formaldehyde in the air was tested.
RESULTSThe concentration of formaldehyde in the air of SHS sprayed group [(3.10 +/- 1.22) mg/m3] was significantly lower than that of the control group [(8.36 +/- 4.11) mg/m3, P < 0.01].
CONCLUSIONSHS may be a volatilization inhibitor for formalin, which could reduce the concentration of formaldehyde in the air.
Air Pollution, Indoor ; prevention & control ; Anatomy ; Formaldehyde ; analysis ; chemistry ; Sulfites ; chemistry ; Volatilization
8.Environmental factors involved in SARS-CoV-2 transmission: effect and role of indoor environmental quality in the strategy for COVID-19 infection control.
Kenichi AZUMA ; U YANAGI ; Naoki KAGI ; Hoon KIM ; Masayuki OGATA ; Motoya HAYASHI
Environmental Health and Preventive Medicine 2020;25(1):66-66
The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), a new zoonotic agent that emerged in December 2019, causes coronavirus disease 2019 (COVID-19). This infection can be spread by asymptomatic, presymptomatic, and symptomatic carriers. SARS-CoV-2 spreads primarily via respiratory droplets during close person-to-person contact in a closed space, especially a building. This article summarizes the environmental factors involved in SARS-CoV-2 transmission, including a strategy to prevent SARS-CoV-2 transmission in a building environment. SARS-CoV-2 can persist on surfaces of fomites for at least 3 days depending on the conditions. If SARS-CoV-2 is aerosolized intentionally, it is stable for at least several hours. SARS-CoV-2 is inactivated rapidly on surfaces with sunlight. Close-contact aerosol transmission through smaller aerosolized particles is likely to be combined with respiratory droplets and contact transmission in a confined, crowded, and poorly ventilated indoor environment, as suggested by some cluster cases. Although evidence of the effect of aerosol transmission is limited and uncertainty remains, adequate preventive measures to control indoor environmental quality are required, based on a precautionary approach, because COVID-19 has caused serious global damages to public health, community, and the social economy. The expert panel for COVID-19 in Japan has focused on the "3 Cs," namely, "closed spaces with poor ventilation," "crowded spaces with many people," and "close contact." In addition, the Ministry of Health, Labour and Welfare of Japan has been recommending adequate ventilation in all closed spaces in accordance with the existing standards of the Law for Maintenance of Sanitation in Buildings as one of the initial political actions to prevent the spread of COVID-19. However, specific standards for indoor environmental quality control have not been recommended and many scientific uncertainties remain regarding the infection dynamics and mode of SARS-CoV-2 transmission in closed indoor spaces. Further research and evaluation are required regarding the effect and role of indoor environmental quality control, especially ventilation.
Aerosols
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Air Pollution, Indoor/prevention & control*
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Betacoronavirus/physiology*
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COVID-19
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Coronavirus Infections/transmission*
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Crowding
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Environment, Controlled
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Humans
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Pandemics/prevention & control*
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Pneumonia, Viral/transmission*
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SARS-CoV-2
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Ventilation
9.Current status of household polluting fuel use in adults aged 40 years and older in China, 2014.
Y J FENG ; J FAN ; S CONG ; B H WANG ; N WANG ; H L BAO ; L H WANG ; L W FANG
Chinese Journal of Epidemiology 2018;39(5):569-573
Objective: To analyze the status and distribution characteristics of household polluting fuel use in China. Methods: The data were collected from the adults aged ≥40 years who were recruited through multi-stage stratified cluster sampling in 2014-2015 COPD surveillance conducted in 31 provinces (autonomous regions and municipalities) in China. A total of 75 107 adults aged ≥40 years in 125 surveillance points were surveyed in face to face interview. Polluting fuels included biomass fuels (wood, dung, crop residues and charcoal), coal (including coal dust and lignite) and kerosene. The weighted percentage of family using polluting fuels, combustion method for cooking or heating and ventilation installation with 95%CI were estimated by complex sampling design. Results: According to the survey results from 75 075 adults, the percentage of family using polluting fuels for cooking or heating was 59.9% (95%CI: 54.2%-65.7%), the percentage in rural areas was significantly higher than that in urban areas (P<0.001). As for different polluting fuels, the percentage of using only biomass fuels for cooking or heating was 25.9% (95%CI:20.5%-31.3%), the percentage of using only coal (including kerosene) was 18.9% (95%CI: 13.2%-24.7%), and the percentage of using both biomass fuels and coal was 15.1% (95%CI: 10.8%-19.4%). Among seven geographic areas in China, the percentages of using biomass fuels ranged from 53.8% in southern China to 23.0% in northern China (P=0.039), the percentages of using coal (including kerosene) ranged from 59.5% in northwestern China to 22.3% in southern China (P=0.001). Among the families using polluting fuels, the percentages of mainly using traditional open fires and stoves were 21.3% (95%CI: 16.9%-25.8%) and 31.5% (95%CI: 25.8%-37.2%), respectively; the percentage of having ventilation installation was72.7% (95%CI: 66.9%-78.5%). Conclusions: Household polluting fuel use is common in China, but differs with area, traditional fuel combustion method is widely used, the coverage of ventilation installation need to be improved. In order to promote COPD prevention and control, it is necessary to develop strategies on fuels and fuel combustion method improvement to reduce indoor air pollution resulted from household fuel combustion.
Adult
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Aged
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Air Pollution, Indoor/prevention & control*
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Biomass
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China/epidemiology*
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Coal/adverse effects*
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Cooking
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Environmental Pollutants/adverse effects*
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Family Characteristics
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Female
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Heating/methods*
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Humans
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Male
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Middle Aged
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Wood
10.Importance for surveillance on chronic obstructive pulmonary disease among Chinese adults.
Chinese Journal of Epidemiology 2018;39(5):541-545
The first national surveillance of COPD in mainland China was carried out in 2014, with the nationally representative data obtained. The national surveillance was significantly important for the monitoring of prevalence, risk factors, and changing trend of COPD among Chinese adults aged ≥ 40. The surveillance was also important in the development of national COPD prevention and control policy, the evaluation of prevention and control progress, the establishment of COPD comprehensive surveillance system, and the building of a professional COPD monitoring and prevention team. In this editorial, we briefly introduced the method and content of COPD surveillance, and reported the rate of spirometry examination and COPD awareness among adults aged ≥40 in China. We also analyzed the rate of main risk factors for COPD, such as tobacco smoking, occupational exposure to dust or chemical and indoor exposure to biomass or coal, and the distribution of high-risk population. This study provided fundamental data for the prevention and control of COPD in China.
Adult
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Aged
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Air Pollution, Indoor/statistics & numerical data*
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China/epidemiology*
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Chronic Disease/epidemiology*
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Dust
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Female
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Humans
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Male
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Occupational Exposure/statistics & numerical data*
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Population Surveillance/methods*
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Prevalence
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Pulmonary Disease, Chronic Obstructive/prevention & control*
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Risk Factors
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Smoking
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Spirometry
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Tobacco Smoke Pollution/statistics & numerical data*