Over half of the world's population is exposed to household air pollution from the burning of solid fuels at home. Household air pollution from solid fuel use is a leading risk factor for global disease and remains a major public health problem, especially in low- and mid-income countries. This is a particularly serious problem in China, where many people in rural areas still use coal for household heating and cooking. This review focuses on several decades of research carried out in Xuanwei County, Yunnan Province, where household coal use is a major source of household air pollution and where studies have linked household air pollution exposure to high rates of lung cancer. We conducted a series of case-control and cohort studies in Xuanwei to characterize the lung cancer risk in this population and the factors associated with it. We found lung cancer risk to vary substantially between different coal types, with a higher risk associated with smoky (i.e., bituminous) coal use compared to smokeless (i.e., anthracite) coal use. The installation of a chimney in homes resulted in a substantial reduction in lung cancer incidence and mortality. Overall, our research underscores the need among existing coal users to improve ventilation, use the least toxic fuel, and eventually move toward the use of cleaner fuels, such as gas and electricity.
Air Pollution, Indoor ; adverse effects ; China ; Coal ; adverse effects ; classification ; Cohort Studies ; Cooking ; Fossil Fuels ; Heating ; Humans ; Incidence ; Lung Neoplasms ; etiology ; mortality ; Risk Factors ; Smoke ; adverse effects ; Smoking

OBJECTIVES: Our objective is to review and summarize the previous studies on the health effects of exposure to oil spills in order to make suggestions for mid- and long-term study plans regarding the health effects of the Hebei Spirit oil spill occured in Korea. METHODS: We searched PubMed to systemically retrieve reports on the human health effects related to oil spill accidents. The papers' reference lists and reviews on the topic were searched as well. RESULTS: We found 24 articles that examined seven oil spill accidents worldwide over the period from 1989 to August 2008, including the Exxon Valdes, Braer, Sea Empress, Erika, Nakhodka, Prestige and Tasman Spirit oil spills. Most of the studies applied cross-sectional and short-term follow-up study designs. The exposure level was measured by assessing the place of residence, using a questionnaire and environmental and personal monitoring. Studies on the acute or immediate health effects mainly focused on the subjective physical symptoms related to clean-up work or residential exposure. Late or mid-term follow-up studies were performed to investigate a range of health effects such as pulmonary function and endocrine, immunologic and genetic toxicity. The economic and social impact of the accidents resulted in the socio-psychological exposure and the psychosocial health effects. CONCLUSIONS: Studies of the health effects of exposure to oil spills should consider a range of health outcomes, including the physical and psychological effects, and the studies should be extended for a considerable period of time to study the long-term chronic health effects.
*Accidents, Occupational ; *Environmental Exposure ; Fossil Fuels/*adverse effects/poisoning ; Hazardous Substances ; Humans ; *Water Pollution

BACKGROUND: Chronic obstructive pulmonary disease (COPD) is characterized by airflow limitation and results from environmental factors and genetic factors. Although cigarette smoking is a major risk factor, other environmental exposures can influence COPD. The purpose of this study is to investigate the clinical characteristics of COPD according to the history of environmental exposure. METHODS: The study population comprised of 347 subjects with COPD who were recruited from the pulmonary clinics of 14 hospitals within the Korean Obstructive Lung Disease Study Group. We classified environmental exposures according to history of living near factory, and direct exposure history to firewood or briquette. According to living environmental exposures, we compared the frequency of respiratory symptoms, pulmonary function, quality of life, exercise capacity, and computed tomography phenotypes. RESULTS: Thirty-one subjects (8.9%) had history of living near factory, 271 (78.3%) had exposure history to briquette, and 184 (53.3%) had exposure history to firewood. Patients with history of living near a factory had a significantly longer duration of sputum, while patients with exposure to firewood tended to have lower forced expiratory volume in one second, and patients with exposure to briquette tended to have lower six minute walk distance. CONCLUSION: COPD subjects with the history of living near factory had more frequent respiratory symptoms such as sputum. Our data suggest that environmental exposure may influence clinical phenotype of COPD.
Air Pollutants ; Environmental Exposure* ; Forced Expiratory Volume ; Fossil Fuels ; Humans ; Korea ; Lung Diseases, Obstructive ; Occupational Exposure ; Phenotype ; Pulmonary Disease, Chronic Obstructive* ; Quality of Life ; Risk Factors ; Smoking ; Sputum

Climactic changes, especially global warming, are potentially the largest global threat to human health and the source of the greatest number of cases of disease. If current emissions and land use trends continue unchecked, future generations will face more serious conditions, including injury, disease, and death related to natural disasters and heat waves, higher rates of climate-related infections, widespread malnutrition, and more allergy and air pollutionrelated morbidity and mortality. This review highlights the relationship between global climate changes and human health and provides some suggestions for improvement. According to the Fourth Assessment Report by the Intergovernmental Panel on Climate Change (IPCC) published in 2007, global warming is caused by greenhouse gas (GHG) emissions. The most important GHG is carbon dioxide (CO2), which is released by the burning of fossil fuels and, to a lesser extent, by land use practices, followed by nitrous oxide and methane. IPCC predicts that global temperatures will rise 1.8degrees C-4.0degrees C by 2099. According to the report, we can expect a significant rise in sea levels, massive species extinctions, changes in storm and drought cycles, altered ocean circulation, and redistribution of vegetation after crossing the "tipping point" of global warming. Human health will be adversely affected by the accelerating climate change. This review stimulates health care providers to provide quality care to susceptible individuals confronting new threats from climactic changes, as well as to work toward a mitigation of the drivers of climate change at the individual, community, and policy levels as part of a long-term commitment to protecting public health.
Burns ; Carbon Dioxide ; Climate ; Climate Change ; Disasters ; Droughts ; Extinction, Biological ; Fossil Fuels ; Global Warming ; Health Personnel ; Humans ; Hypersensitivity ; Infrared Rays ; Malnutrition ; Methane ; Nitrous Oxide ; Public Health ; Social Responsibility

Climate changes, particularly global warming, are attributable to human activities, mainly fossil fuel burning which releases greenhouse gases such as CO2. The emissions of CO2 continue to rise, and climate models project 1.1degrees C to 6.4degrees C rise of average surface temperature over the 21st century. Health effects from global warming range from increased mortality by extreme weather, floods, and storms to increase of diseases such as malaria, dengue fever, and diarrhea. Korea is not immune to health impacts from global warming. Data on daily temperature of Seoul in 1994 showed a clear association with daily mortality. Rise of sea and surface temperatures also indicates possibility of increase in infectious diseases in Korea. Concentrations of ambient pollutants, particularly ozone, were shown to be associated with surface temperature. Therefore, we are already in the influence of climate change. Adaptation strategy to climate changes is basically a matter of public health. Well-prepared programs for responding to climate changes will minimize health risks. The most effective responses are strengthening of the key functions of environmental management, surveillance, and response to natural disasters and changes of disease patterns associated with global warming. We need to intensify our efforts in preventive public health, and ensure sustainable development and protection of ecosystem for human health.
Burns ; Climate ; Climate Change ; Communicable Diseases ; Dengue ; Diarrhea ; Dietary Sucrose ; Disasters ; Ecosystem ; Floods ; Fossil Fuels ; Gases ; Global Warming ; Human Activities ; Humans ; Korea ; Malaria ; Natural Resources ; Ozone ; Public Health ; Weather

Objective: To understand the prevalence of biomass fuel exposure in women aged ≥40 years in China during 2014-2015, and provide evidence for the prevention and control of bio-fuel exposure. Methods: All participants were selected from a national representative cross-sectional survey during 2014-2015 in the mainland of China. A multi-stage stratified cluster sampling strategy was used. A total of 37 795 women aged ≥40 years received a face-to-face questionnaire survey at 125 surveillance points in 31 provinces. The level of biomass fuel exposure was analyzed after complex sample weighting to represent the overall Chinese women aged ≥40 years. Results: A total of 37 777 women were included in the analysis. With complex weighting, the rate of biomass fuel exposure in Chinese women aged ≥40 years was 35.8% (95%CI: 29.6%-42.1%), the exposure rate was higher in rural women than in urban women (P<0.001). The biomass fuel exposure rate was highest in northeastern and lowest in northern areas of China (χ(2)=17.03, P=0.009). The estimated biomass fuel exposure rate decreased with the increase of educational level (P<0.001). Conclusion: The prevalence of biomass fuel exposure is high in women aged ≥40 years in China, especially in those in rural areas. The exposure level differs with age and area. Appropriate measures should be taken to reduce the level of biomass fuel exposure in Chinese women.
Adult ; Aged ; Air Pollutants/toxicity* ; Air Pollution, Indoor/statistics & numerical data* ; Asian People ; Biomass ; China/epidemiology* ; Cooking/methods* ; Cross-Sectional Studies ; Female ; Fossil Fuels/toxicity* ; Humans ; Inhalation Exposure/statistics & numerical data* ; Middle Aged ; Prevalence ; Risk Factors ; Rural Population ; Surveys and Questionnaires

China's energy supply becomes more serious nowadays and the development of bio-energy becomes a major trend. Large oil companies have superb technology, rich experience and outstanding talent, as well as better sales channels for energy products, which can make full use of their own advantages to achieve the efficient complementary of exist energy and bio-energy. Therefore, large oil companies have the advantages of developing bio-energy. Bio-energy development in China is in the initial stage. There exist some problems such as available land, raw material supply, conversion technologies and policy guarantee, which restrict bio-energy from industrialized development. According to the above key issues, this article proposes suggestions and methods, such as planting energy plant in the marginal barren land to guarantee the supply of bio-energy raw materials, cultivation of professional personnel, building market for bio-energy counting on large oil companies' rich experience and market resources about oil industry, etc, aimed to speed up the industrialized process of bio-energy development in China.
Biofuels ; China ; Gasoline ; Industry ; Petroleum

Chemical pneumonitis induced by hydrocarbon aspiration is rare in Korea. Kerosene is a petroleum distillate with low viscosity and high volatility. We report two adult cases of chemical pneumonitis caused by the accidental aspiration of kerosene. They were treated successfully with antibiotics and systemic corticosteroids, and recovered without complications.
Adrenal Cortex Hormones ; Adult ; Anti-Bacterial Agents ; Humans ; Kerosene ; Korea ; Petroleum ; Pneumonia ; Viscosity ; Volatilization

OBJECTIVEThe study was designed to compare the combustion products of coal gas, liquefied petroleum gas and natural gas in relation to indoor air pollution.

METHODSRegular pollutants including B(a)P were monitored and 1-hydroxy pyrene were tested in urine of the enrolled subjects. Radon concentrations and their changes in four seasons were also monitored in the city natural gas from its source plant and transfer stations to final users. To analyze organic components of coal gas, liquefied petroleum gas and natural gas, a high-flow sampling device specially designed was used to collect their combustion products, and semi-volatile organic compounds contained in the particles were detected by gas chromatograph-mass spectrograph (GC/MS).

RESULTSFindings in the study showed that the regular indoor air pollutants particles and CO were all above the standard in winter when heating facilities were operated in the city, but they were lowest in kitchens using natural gas; furthermore, although NO2 and CO2 were slightly higher in natural gas, B(a)P concentration was lower in this group and 1-hydroxy pyrene was lowest in urine of the subjects exposed to natural gas. Organic compounds were more complicated in coal gas and liquefied petroleum gas than in natural gas. The concentration of radon in natural gas accounted for less than 1% of its effective dose contributing to indoor air pollution in Beijing households.

CONCLUSIONCompared to traditional fuels, gases are deemed as clean ones, and natural gas is shown to be cleaner than the other two gases.

Air Pollution, Indoor ; analysis ; Carbon Dioxide ; analysis ; Coal ; Gas Chromatography-Mass Spectrometry ; Incineration ; Nitrogen Dioxide ; analysis ; Petroleum ; Radon ; analysis ; Volatilization

Kerosene is one of the petroleum distillates with low viscosity and high volatility. Kerosene is widely used in Korean home in heating and cooking. Kerosene ingestion or aspiration is one of the most common poisonings in young children but extremely rare in adults because kerosene is not taken with the intention of committing suicide. We report four adult cases of aspiration pneumonitis by accidental aspiration of kerosene with similar clinical presentation.
Adult ; Apoptosis ; Child ; Cooking ; Eating ; Epithelial Cells ; Heating ; Helicobacter pylori ; Hot Temperature ; Humans ; Intention ; Kerosene* ; Neutrophils ; Petroleum ; Pneumonia* ; Poisoning ; Suicide ; Viscosity ; Volatilization