to investigate health effects of biomass smoke exposure in children.
A SYNOPSIS OF MY RESEARCHEpidemiological studies indicate that particulate matter (PM) from combustion of fossil and biomass fuels is associated with adverse health effects in children and adults. One of the limitations of the existing epidemiological studies is the assessment of individual lower airway exposure to PM, a site more relevant for adverse health effects. Since carbon is a major chemical component of traffic sources of PM and as AM ingest inhaled particles, we used AM carbon content as a measure of airway exposure to correlate with adverse health effects.Children are exposed to a much higher level of PM in developing countries, from the burning of biomass fuels, such as wood, animal dung and crop residues. These fuels are used for cooking, heating and boiling water. This widespread exposure to PM from biomass smoke is estimated to cause two million excess deaths per year, a major proportion of these being in young children. It increases the risk of acute respiratory infections, otitis media and tuberculosis in children, and also chronic obstructive lung disease in adults.In our first study, we assessed carbon content in sputum macrophages from adult females and children exposed to biomass smoke [1]. As this study was conducted in a town (Gondar) where expensive equipment was not available, we first developed a simplified method to process the sputum sample. This new method, developed in Leicester, did not require the use of ice or a cytocentrifuge and, at the same time, did not affect the morphology of cells. The carbon content of AM in adult females and children exposed to biomass smoke was higher than in adults and children exposed to traffic-derived PM. The carbon content was lower in children compared with their mothers. This suggests that in children, a behaviour of staying away from fire helps to reduce exposure.