Addressing the burden of disease attributable to air pollution in India: the need to integrate across household and ambient air pollution exposures

In the comparative risk assessment (Lim et al. 2012), performed as part of the Global Burden of Disease (GBD) 2010 Project, air pollution ranked as a leading contributor to the burden of disease in South Asia. Estimates of the burden in India show approximately 1.04 million premature deaths and 31.4...

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Bibliographic Details
Published in:Environmental health perspectives 2014-01, Vol.122 (1), p.A6-A7
Main Authors: Balakrishnan, Kalpana, Cohen, Aaron, Smith, Kirk R
Format: Article
Language:English
Subjects:
Air pollution
Air Pollution - adverse effects
Air Pollution, Indoor - adverse effects
Biomass
Cardiovascular disease
Chronic illnesses
Cooking
Cost of Illness
Death
Emissions
Environmental regulations
Estimates
Exposure
Family Characteristics
Health
Health risk assessment
Heating
Households
Humans
India
India - epidemiology
Intervention
Ischemia
Outdoor air quality
R&D
Research & development
Risk exposure
Rural areas
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Summary:In the comparative risk assessment (Lim et al. 2012), performed as part of the Global Burden of Disease (GBD) 2010 Project, air pollution ranked as a leading contributor to the burden of disease in South Asia. Estimates of the burden in India show approximately 1.04 million premature deaths and 31.4 million disability-adjusted life years (DALYs) to be attributable to household air pollution (HAP) resulting from solid cooking fuels, and 627,000 premature deaths and nearly 17.8 million DALYs to be attributable to ambient air pollution (AAP) in the form of fine particulate matter 2.5 mm in aerodynamic diameter (PM2.5). HAP and AAP account for 6% and 3%, respectively, of the total national burden of disease, and together they exceed the burden from any other risk factor of the > 60 examined. This burden, borne disproportionately by poor populations who rely on solid fuels for cooking, poses an enormous challenge for air quality management within public health programs in India. There is a need to integrate research and intervention across HAP and AAP exposures in India in order to reduce disease burdens and to efficiently improve health by using intervention efforts.
ISSN:0091-6765
1552-9924
DOI:10.1289/ehp.1307822