Chapter 5
Indoor air quality
At a glance
Household fuel-burning is a significant contributor to both ambient and indoor air pollutant concentrations. Suspended particulate concentrations were found to be orders of magnitude above recommended health limits, and concentrations of fine particulates were even higher in dwellings where wood was burned as a fuel. Ample evidence from local and international studies reveals that household fuel-burning of coal and wood can have serious adverse effects on health. Indoor air pollution from coal-burning has been established as one of the risk factors for the development of acute respiratory illnesses (ARIs). Additional sources of indoor air pollution include building materials and furnishings, deteriorated asbestos-containing insulation; wet or damp carpets; cabinetry or furniture made of specific pressed wood products; central heating and cooling systems and humidification devices; pesticides; solvents and cleaning agents, paints;
animals; moulds, dust mites, and other biological sources; and environmental (third party) tobacco smoke.
5.1 INDOOR AIR QUALITY WITHIN FUEL-BURNING HOUSEHOLDS ... 48
5.2 INDOOR POLLUTANT SOURCES (OTHER THAN FUEL-BURNING) ... 49
Indoor air quality 47
compounds found to exceed recommended health limits (Scorgie et al., 2001; Taljaard, 1998).
Ample evidence from local and international studies reveals that, when coal and wood are burned indoors other than in structured fireplaces with adequate smoke extraction, household fuel-burning can have serious adverse effects on health (Terblanche et al., 1992; Terblanche & Pols, 1994; Mathee & von Schirnding, 2003; Ehrlich and Kalkoff, 1998; Taljaard, 1998; Scorgie et al., 2001). Indoor air pollution from coal-burning has been established as one of the risk factors for the development of acute respiratory illnesses (ARI). Epidemiological data indicate that ARIs are a leading cause of death among black South African children, and their mortality rate from ARI is reported to be 270 times greater than for children in western Europe (Terblanche et al., 1993). When correlated for socio-economic status, age, and gender, the risk of upper respiratory infection (URI) in winter among rural populations exposed to coal and/or wood cooking and heating fires was found to be four times higher than the risk among electricity users (Terblanche et al., 1992).
Exposures to indoor CO concentrations were found to be up to 180% higher in coal-burning households compared to wood-burning ones within the Vaal Triangle (Terblanche et al., 1995). Data collection and exposure analysis during indoor air pollution studies (in the Qalabotjha Synthesis study [Scorgie et al., 2001]) indicated that CO (which can be lethal in high concentrations) contributed significantly to acute
5.1 INDOOR AIR QUALITY WITHIN FUEL-BURNING HOUSEHOLDS
Household fuel-burning is a significant contributor to ambient air pollutant concentrations, as well as to high concentrations indoors that have been associated with significant adverse impacts on people’s health.
Several studies have been conducted to quantify indoor air pollutant concentrations within fuel-burning households (Terblanche et al., 1993; Terblanche &
Pols, 1994; Terblanche et al., 1995; Taljaard, 1998;
van Niekerk & van Niekerk, 1999; van Niekerk &
Swanepoel, 1999). Ranges in air pollutants recorded within coal-burning households are summarized in Table 5.1. Suspended particulate concentrations were found to be orders of magnitude above recommended health limits, and concentrations of fine particulates were even higher in wood-burning dwellings. Although outdoor sulphur dioxide (SO 2 ), carbon monoxide (CO), and nitrogen dioxide (NO 2 ) concentrations within fuel- burning residential areas have not generally been found to exceed ambient air quality guidelines of the past, violations of health standards occur from indoor exposures to these pollutants 1 .
Indoor volatile organic compound (VOC) monitoring programmes have also been undertaken. In the same way as criteria pollutants, indoor VOC concentrations varied substantially, depending on the households’
fuel-burning practices, with concentrations of various
ABBREVIATIONS: CO, carbon monoxide; NO
2, nitrogen dioxide; SO
2, sulphur dioxide; PM
10, particulate matter less than 10 μm in diameter.
a