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VOLUME 56 , ISSUE 2 ( April-June, 2014 ) > List of Articles

Original Article

Indoor Air Pollution and Respiratory Illness in Children from Rural India: A Pilot Study

Raj Kumar, Nitin Goel, Kamal Singh, Sumit Nagar, Juhi Mittal

Keywords : Air pollution, Biomass, Particulate matter (PM2.5), Respiratory tract diseases, Tobacco smoke pollution

Citation Information : Kumar R, Goel N, Singh K, Nagar S, Mittal J. Indoor Air Pollution and Respiratory Illness in Children from Rural India: A Pilot Study. Indian J Chest Dis Allied Sci 2014; 56 (2):79-83.

DOI: 10.5005/ijcdas-56-2-79

License: CC BY-NC 4.0

Published Online: 28-06-2022

Copyright Statement:  Copyright © 2014; The Author(s).


Objective. Indoor air pollution measured in terms of particulate matter <2.5ìm in diameter (PM2.5), is an important cause of respiratory illness in children. Therefore, PM2.5 levels in rural households and its correlation with respiratory illness-related symptoms in children were studied. Methods. A questionnaire-based survey of children for respiratory illness-related symptoms was conducted in 37 households of a village (Khanpurjupti, Delhi-NCR, India) from September 2011 to October 2011. Assessment of 24-hour PM2.5 level was done using University of California-Berkeley Particle and Temperature Sensor (UCB-PATS). Results. Thirty-seven households in a rural area were studied. These were divided into 20 respiratory households, i.e. those with children with respiratory illness-related symptoms and 17 control households. The 24-hour PM2.5 was measured in all the houses. The average minimum and maximum PM2.5 levels were 7.24mg/m3 and 22.70mg/m3, respectively (mean=10.47mg/m3) among the 20 respiratory households. The average minimum and maximum PM2.5 levels were 1.10mg/m3 and 18.17mg/m3, respectively (mean=4.99mg/m3) in the 17 control households. The PM2.5 levels were significantly greater (p<0.05) in houses where children had respiratory symptoms compared to the control households. Further, biomass fuel use and number of family members were significantly associated with respiratory illness in children. Conclusion. Increased PM2.5 levels, biomass fuel use and number of family members were found to be associated with increased occurrence of respiratory illness in children.

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  1. The World Health Report 2004: Changing history. Available at URL: (Accessed on 18 March, 2012).
  2. The World Health Report 2007: A safer future: Global public health security in the 21st century. Available at URL: (Accessed on 18 March, 2013).
  3. Reddy AKN, Williams RH, Johansson TB, editors. Energy After Rio: Prospects and Challenges”. New York: United Nations Publications; 1996.
  4. Smith KR, Mehta S, Maeusezahl-Feuz M. Indoor airpollution from solid fuel use. In: Ezzatti M, Lopez AD, Rodgers A, Murray CJL, editors Comparative Quantification of Health Risks: Global and Regional Burden of Disease Attributable to Selected Major Risk Factors. Geneva: World Health Organization; 2004: pp 1435-1493.
  5. Samet JM, Marbury MC, Spengler JD. Health effects and sources of indoor air pollution (Part I). Am Rev Respir Dis 1987;136:486-508.
  6. Samet JM, Marbury MC, Spengler JD. Health effects and sources of indoor air pollution (Part II). Am Rev Respir Dis 1988;137:221-4.
  7. Dominici F, McDermott A, Daniels M, Zeger SL, Samet JM. Revised analyses of the National Morbidity, Mortality, and Air Pollution Study: mortality among residents of 90 cities. J Toxicol Environ Health A 2005;68:1071-92.
  8. Krewski D, Burnett R, Jerrett M, Pope CA, Rainham D, Calle E, et al. Mortality and long-term exposure to ambient air pollution: ongoing analyses based on the American Cancer Society cohort. J Toxicol Environ Health A 2005;68:1093-109.
  9. Hertz-Picciotto I, Baker RJ, Yap PS, Dostál M, Joad JP, Lipsett M, et al. Early childhood lower respiratory illness and air pollution. Environ Health Perspect 2007;115:1510-18.
  10. Air Quality Guidelines. Global Update 2005. Available at URL: (Accessed on 17 March, 2013).
  11. Kumar R, Nagar JK, Raj N, Kumar P, Kushwah AS, Meena M, et al. Indoor air pollution and respiratory function of children in Ashok Vihar, Delhi: an exposure response study. Asia- Pacific J Public Health 2008;20:36-48.
  12. Smith KR. The national burden of disease in India from indoor air pollution. Proc Natl Acad Sci (USA) 2000;97: 13286-93.
  13. Ezzati M, Kammen D. Indoor air pollution from biomass combustion and acute respiratory infections in Kenya: an exposure-response study. Lancet 2001;358:619-24.
  14. Desai MA, Mehta S, Smith KR. Indoor smoke from solid fuels: assessing the environmental burden of disease at national and local levels. In: Environmental Burden of Disease (series No. 4). WHO protection of the human environment; Geneva: WHO; 2004.
  15. Simoni M, Scognamiglio A, Carrozzi L, Baldacci S, Anna A, Pistelli F, et al. Indoor exposures and acute respiratory effects in two general population samples from a rural and an urban area in Italy. J Expos Analy Environ Epidemiol 2004;14:S144-S152.
  16. Kumar R, Nagar JK, Kumar H, Khushwah AS, Meena M, Kumar P, et al. Association of indoor and outdoor air pollutant level with respiratory problems among children in an industrial area of Delhi. Arch Environ Occup Health 2007; 62:75-80.
  17. Awasthi S, Glick HA, Fletcher RH. Effect of cooking fuels on respiratory diseases in preschool children in Lucknow, India. Am J Trop Med Hyg 1996;55:48-51.
  18. Fox NL, Sexton M, Hebel JR. Prenatal exposure to tobacco: effects on physical growth at age three. Int J Epidemiol 1990; 19:66-71.
  19. Strachan DP, Cook DG. Health effects of passive smoking: parental smoking and lower respiratory illness in infancy and early childhood. Thorax 1997;52:905-14.
  20. World Health Organization. “Guidelines for particulate matter, ozone, nitrogen dioxide and sulfur dioxide”. Geneva: World Health Organization Press; 2006.
  21. David P, Simone B, Seth M, Wilhelmina Q. Indoor air quality of an important wood stove in Ghana and an ethanol stove in Ethiopia. Ener Sustain Develop 2009;13:71-6.
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