The relationship between medical conditions and driving is complex; while medical conditions were the most common reason given for driving cessation, those who stopped had fewer medical conditions than current drivers. This suggests that a broader measure of general health or functional ability may play a dominant role in decisions to stop driving.

Concentration of heavy metals (Cd, Ni, Zn, Fe, Cu, Mn, Pb, Cr, Hg and As) in the waters of River Yamuna and in the soil of agricultural fields along its course in Delhi are reported from 13 sites, spread through the Delhi stretch of Yamuna, starting from the Wazirabad barrage till the Okhla barrage. Varying concentration of heavy metals was found. Peaks were observed in samples collected downstream of Wazirabad and Okhla barrage, indicating the anthropogenic nature of the contamination. The Wazirabad section of the river receives wastewater from Najafgarh and its supplementary drains, whereas the Shahdara drain releases its pollution load upstream of the Okhla barrage. Average heavy metal concentration at different locations in the river water varied in the order of Fe>Cr>Mn>Zn>Pb>Cu>Ni>Hg>As>Cd. The river basin soil shows higher level of contamination with lesser variation than the water samples among sampling locations, thereby suggesting deposition over long periods of time through the processes of adsorption and absorption. The average heavy metal concentration at different locations in soil varied in the order of Fe>Mn>Zn>Cr>Pb>Ni>Hg>Cu>As>Cd.

BackgroundHousehold air pollution (HAP) due to biomass cooking fuel use is an important risk factor for a range of diseases, especially among adult women who are primary cooks, in India. About 80% of rural households in India use biomass fuel for cooking. The aim of this study is to estimate the attributable cases (AC) for four major diseases/conditions associated with biomass cooking fuel use among adult Indian women.MethodsWe used the population attributable fraction (PAF) method to calculate the AC of chronic bronchitis, tuberculosis (TB), cataract, and stillbirths due to exposure to biomass cooking fuel. A number of data sources were accessed to obtain population totals and disease prevalence rates. A meta-analysis was conducted to obtain adjusted pooled odds ratios (ORs) for strength of association. Using this, PAF and AC were calculated using a standard formula. Results were presented as number of AC and 95% confidence intervals (CI).ResultsThe fixed effects pooled OR obtained from the meta-analysis were 2.37 (95% CI: 1.59, 3.54) for chronic bronchitis, 2.33 (1.65, 3.28) for TB, 2.16 (1.42, 3.26) for cataract, and 1.26 (1.12, 1.43) for stillbirths. PAF varied across conditions being maximum (53%) for chronic bronchitis in rural areas and least (1%) for cataract in older age and urban areas. About 2.4 (95% CI: 1.4, 3.1) of 5.6 m cases of chronic bronchitis, 0.3 (0.2, 0.4) of 0.76 m cases of TB, 5.0 (2.8, 6.7) of 51.4 m cases of cataract among adult Indian women and 0.02 (0.01, 0.03) of 0.15 m stillbirths across India are attributable to HAP due to biomass cooking fuel. These estimates should be cautiously interpreted in the light of limitations discussed which relate to exposure assessment, exposure characterization, and age-specific prevalence of disease.ConclusionsHAP due to biomass fuel has diverse and major impacts on women’s health in India. Although challenging, incorporating the agenda of universal clean fuel access or cleaner technology within the broader framework of rural development will go a long way in reducing disease burden.

Background and Objective. Asthma is the most common chronic pediatric disease and exacts