l103 - INFLUENCE OF COOKINg AND hEAtINg FUEL USE ON –59 MONth OLD by monkey6

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									4th PUBLIC hEALth ASSOCIAtION OF SOUth AFRICA CONFERENCE 2008

l103 - INFLUENCE OF COOKINg AND hEAtINg FUEL USE ON –59 MONth OLD MORtALItY IN SOUth AFRICA


J Wchmann, KVV Voy



School of health Systems and Publc health, health Scences, Faculty, Unversty of Pretora

BaCKgrouND
to determne the assocaton between the combuston of wood, anmal dung, coal and paraffn (pollutng fuels) for cookng and heatng and –59 month old mortalty n South Afrca, whlst adjustng for a number of confounders.

assocated wth –59 month mortalty, after controllng for mother’s age at brth, water source, asset ndex and household crowdedness (RR=.95; 95% CI=.04, 3.68).

CoNCluSIoNS
Although there s potental for resdual confoundng despte adjustment, the better documented evdence on outdoor ar polluton and mortalty suggest ths assocaton may be real. As nearly half of households n South Afrca stll rely on pollutng fuels and women of chldbearng age perform most cookng tasks, the attrbutable rsk arsng from ths assocaton, f confrmed, could be substantal. It s trusted that more detaled analytcal nterventon studes wll scrutnse these results n order to develop ntegrated nterventon programmes to reduce chldren’s exposure to ar polluton emanatng from cookng and heatng fuels.

metHoDS
Data from 3 556 chldren (42 deaths) lvng n 2 828 households were extracted from the 998 South Afrcan Demographc and health Survey (SADhS) database. the SADhS was the frst natonal health survey conducted across the entre country and provded the opportunty to examne the prevalence and determnants of varous morbdty and mortalty outcomes n a representatve natonal populaton.

reSultS
the results suggest that exposure to cookng and heatng smoke from pollutng fuels s sgnfcantly

“Making Alma Ata principles a 21st century reality: What will it take?” - ORALS

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