Infant Respiratory Symptoms Associated with Indoor Heating Sources

Division of General Medicine, University of Rochester, Rochester, New York, United States
American Journal of Respiratory and Critical Care Medicine (Impact Factor: 13). 11/2002; 166(8):1105-11. DOI: 10.1164/rccm.2202014
Source: PubMed


This study examined the effects of indoor heating sources on infant respiratory symptoms during the heating season of the first year of life. Mothers delivering babies between 1993 and 1996 at 12 hospitals in Connecticut and Virginia were enrolled. Daily symptom and heating source use information about their infant was obtained every 2 weeks during the first year of life. Heating sources included fireplace, wood stove, kerosene heater, and gas space heater use. Four health outcomes were analyzed by reporting period: days of wheeze, episodes of wheeze, days of cough, and episodes of cough. A large percentage of infants had at least one episode of cough (88%) and wheeze (33%) during the heating season of the first year of life. Wood stove, fireplace, kerosene heater, and gas space heater use was intermittent across the study period. In adjusted Poisson regression models controlling for important confounders, gas space heater use was associated with episodes and days of wheeze. Wood stove use was associated with total days of cough, and kerosene heater use was associated with episodes of cough. Fireplace use was not associated with any of the respiratory symptoms. Use of some heating sources appears related to respiratory symptoms in infants.

Download full-text


Available from: William S Beckett, Dec 07, 2015
  • Source
    • "A study of the association between winter respiratory symptoms and home heating sources was carried out in 890 infants, aged 3–5 mo, born in Connecticut and Virginia hospitals in 1993–1996 (Triche et al. 2002). Mothers recorded wheeze and cough in their children. "
    [Show abstract] [Hide abstract]
    ABSTRACT: Kerosene has been an important household fuel since the mid-19th century. In developed countries its use has greatly declined because of electrification. However, in developing countries, kerosene use for cooking and lighting remains widespread. This review focuses on household kerosene uses, mainly in developing countries, their associated emissions, and their hazards. Kerosene is often advocated as a cleaner alternative to solid fuels, biomass and coal, for cooking, and kerosene lamps are frequently used when electricity is unavailable. Globally, an estimated 500 million households still use fuels, particularly kerosene, for lighting. However, there are few studies, study designs and quality are varied, and results are inconsistent. Well-documented kerosene hazards are poisonings, fires, and explosions. Less investigated are exposures to and risks from kerosene's combustion products. Some kerosene-using devices emit substantial amounts of fine particulates, carbon monoxide (CO), nitric oxides (NO(x)), and sulfur dioxide (SO(2)). Studies of kerosene used for cooking or lighting provide some evidence that emissions may impair lung function and increase infectious illness (including tuberculosis), asthma, and cancer risks. However, there are few study designs, quality is varied, and results are inconsistent. Considering the widespread use in the developing world of kerosene, the scarcity of adequate epidemiologic investigations, the potential for harm, and the implications for national energy policies, researchers are strongly encouraged to consider collecting data on household kerosene uses in studies of health in developing countries. Given the potential risks of kerosene, policymakers may consider alternatives to kerosene subsidies, such as shifting support to cleaner technologies for lighting and cooking.
    Full-text · Article · Aug 2012 · Journal of Toxicology and Environmental Health Part B
  • Source
    • "[8] "

    Full-text · Article · Jul 2011 · Revue des Maladies Respiratoires Actualites
  • Source
    • "The acute and chronic health effects associated with woodsmoke from forest fire and residential wood burning are summarized in recent reviews by Naeher et al. [20] and Bølling et al. [21]. Epidemiology studies have revealed that young children are particularly susceptible to the effects of wood smoke with increased incidence of respiratory symptoms [22] [23] [24], asthma emergency department visits [25] [26], and asthma symptoms [27] [28]. Wood smoke has also been associated with increased cardiovascular emergency department visits [29]. "
    [Show abstract] [Hide abstract]
    ABSTRACT: Wood burning for residential heating is prevalent in the Rocky Mountain regions of the United States. Studies have shown that wood stoves can be a significant source of PM 2.5 within homes. In this study, the effectiveness of an electrostatic filter portable air purifier was evaluated (1) in a home where a wood stove was the sole heat source and (2) in a home where a wood stove was used as a supplemental heat source. Particle count concentrations in six particle sizes and particle mass concentrations in two particle sizes were measured for ten 12-hour purifier on and ten purifier off trials in each home. Particle count concentrations were reduced by 61–85 percent. Similar reductions were observed in particle mass concentrations. These findings, although limited to one season, suggest that a portable air purifier may effectively reduce indoor particulate matter concentrations associated with wood combustion during home heating.
    Full-text · Article · Jan 2011 · Journal of Environmental and Public Health
Show more