Estimating the burden of disease attributable to household air pollution from cooking with solid fuels in South Africa for 2000, 2006 and 2012

dc.contributor.authorRoomaney, R.A.
dc.contributor.authorWright, Caradee Yael
dc.contributor.authorCairncross, E.
dc.contributor.authorAbdelatif, Nada A.
dc.contributor.authorTurawa, E.B.
dc.contributor.authorAwotiwon, O.F.
dc.contributor.authorNeethling, I.
dc.contributor.authorNojilana, B.
dc.contributor.authorPacella, R.
dc.contributor.authorBradshaw, D.
dc.contributor.authorPillay-van Wyk, V.
dc.date.accessioned2023-02-27T05:52:12Z
dc.date.available2023-02-27T05:52:12Z
dc.date.issued2022-08
dc.description.abstractBACKGROUND. Household air pollution (HAP) due to the use of solid fuels for cooking is a global problem with significant impacts on human health, especially in low- and middle-income countries. HAP remains problematic in South Africa (SA). While electrification rates have improved over the past two decades, many people still use solid fuels for cooking owing to energy poverty. OBJECTIVES. To estimate the disease burden attributable to HAP for cooking in SA over three time points: 2000, 2006 and 2012. METHODS. Comparative risk assessment methodology was used. The proportion of South Africans exposed to HAP was assessed and assigned the estimated concentration of particulate matter with a diameter <2.5 μg/m3 (PM2.5) associated with HAP exposure. Health outcomes and relative risks associated with HAP exposure were identified. Population-attributable fractions and the attributable burden of disease due to HAP exposure (deaths, years of life lost, years lived with disability and disability-adjusted life years (DALYs)) for SA were calculated. Attributable burden was estimated for 2000, 2006 and 2012. For the year 2012, we estimated the attributable burden at provincial level. RESULTS. An estimated 17.6% of the SA population was exposed to HAP in 2012. In 2012, HAP exposure was estimated to have caused 8 862 deaths (95% uncertainty interval (UI) 8 413 - 9 251) and 1.7% (95% UI 1.6% - 1.8%) of all deaths in SA, respectively. Loss of healthy life years comprised 208 816 DALYs (95% UI 195 648 - 221 007) and 1.0% of all DALYs (95% UI 0.95% - 1.0%) in 2012, respectively. Lower respiratory infections and cardiovascular disease contributed to the largest proportion of deaths and DALYs. HAP exposure due to cooking varied across provinces, and was highest in Limpopo (50.0%), Mpumalanga (27.4%) and KwaZulu-Natal (26.4%) Provinces in 2012. Agestandardised burden measures showed that these three provinces had the highest rates of death and DALY burden attributable to HAP. CONCLUSION. The burden of disease from HAP due to cooking in SA is of significant concern. Effective interventions supported by legislation and policy, together with awareness campaigns, are needed to ensure access to clean household fuels and improved cook stoves. Continued and enhanced efforts in this regard are required to ensure the burden of disease from HAP is curbed in SA.en_US
dc.description.departmentGeography, Geoinformatics and Meteorologyen_US
dc.description.librarianam2023en_US
dc.description.sponsorshipThe SA Medical Research Council.en_US
dc.description.urihttp://www.samj.org.zaen_US
dc.identifier.citationRoomaney, R.A., Wright, C.Y., Cairncross, E. et al. 2022, 'Estimating the burden of disease attributable to household air pollution from cooking with solid fuels in South Africa for 2000, 2006 and 2012', South African Medical Journal, vol. 112, no. 8b, pp. 718-728, doi : 10.7196/SAMJ.2022.v112i8b.16474.en_US
dc.identifier.issn0256-9574 (print)
dc.identifier.issn2078-5135 (online)
dc.identifier.other10.7196/SAMJ.2022.v112i8b.16474
dc.identifier.urihttps://repository.up.ac.za/handle/2263/89822
dc.language.isoenen_US
dc.publisherHealth and Medical Publishing Groupen_US
dc.rights© 2022 Health & Medical Publishing Group. This work is licensed under a Creative Commons Attribution-NonCommercial Works License (CC BY-NC 3.0).en_US
dc.subjectHousehold air pollution (HAP)en_US
dc.subjectBurden of diseaseen_US
dc.subjectDeathsen_US
dc.subjectSouth Africa (SA)en_US
dc.subjectCookingen_US
dc.subjectSolid fuelsen_US
dc.titleEstimating the burden of disease attributable to household air pollution from cooking with solid fuels in South Africa for 2000, 2006 and 2012en_US
dc.typeArticleen_US

Files

Original bundle

Now showing 1 - 1 of 1
Loading...
Thumbnail Image
Name:
Roomaney_Estimating_2022.pdf
Size:
589.48 KB
Format:
Adobe Portable Document Format
Description:
Article

License bundle

Now showing 1 - 1 of 1
Loading...
Thumbnail Image
Name:
license.txt
Size:
1.75 KB
Format:
Item-specific license agreed upon to submission
Description: