Impact of improved cookstoves on indoor air pollution and adverse health effects among Honduran women
Stuart Conway, Trees, Water and People August 5, 2009

Maggie L. Clark, Jennifer L. Peel, James B. Burch, Tracy L. Nelson,
Matthew M. Robinson, Stuart Conway, Annette M. Bachand and
Stephen J. Reynolds

Abstract:
Elevated indoor air pollution levels due to the burning of biomass in developing countries are well established. Few studies have quantitatively assessed air pollution levels of improved cookstoves and examined these measures in relation to health effects. We conducted a cross-sectional survey among 79 Honduran women cooking with traditional or improved cookstoves. Carbon monoxide and fine particulate matter (PM2.5) levels were assessed via indoor and personal monitoring. Pulmonary function and respiratory symptoms were ascertained. Finger-stick blood spot samples were collected to measure C-reactive protein (CRP) concentrations. The use of improved stoves was associated with 63% lower levels of personal PM2.5, 73% lower levels of indoor PM2.5, and 87% lower levels of indoor carbon monoxide as compared to traditional stoves. Women using traditional stoves reported symptoms more frequently than those using improved stoves. There was no evidence of associations between cookstove type or air quality measures with lung function or CRP.

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