Indoor air pollution and fatal daily household habits: two cases report in Kigali, Rwanda|
Fitzek, Antonia; Ron, Alexandra; Mushumba, Herbert; Byukusenge, Janvier & Püschel, Klaus
BACKGROUND: Around 3 billion people around the world, especially in
low-income countries, cook indoors using polluting open fires or simple stoves
fueled by kerosene, biomass and coal, which produce indoor air pollution (IAP).
According to WHO, the population of sub-Saharan Africa, South and East Asia
and the Western Pacific experience the highest rates of health problems from
exposure to indoor pollutants. According to the World Bank sustainable energy
database, only one third of the Rwandan population have access to electricity.
CASE PRESENTATION: Two case reports with both a fatal acute and chronic
outcome of IAP are presented. Because of the lack of electricity, especially in poor
environments, IAP is a major risk factor for increased mortality. The health impact
of IAP is exemplarily discussed on two case reports how acute high exposure to
carbon monoxide for instance can lead to fatal poisoning and death of the whole
CONCLUSION: The indoor air poisoning can affect people who are often
unaware of the existence of a toxic gas, caused by combustion of biomass in their
homes. Therefore community-based preventive intervention trials are needed to
educate and alert the people.
Indoor air pollution; Rwanda; East Africa; carbon monoxide; gas poisoning; WHO; World Bank sustainable energy database.