Chronic obstructive pulmonary disease by biomass smoke exposure

Authors

  • Matías Lopez Division of Pulmonary and Critical Care, School of Medicine, Johns Hopkins University. Baltimore, EE. UU. Medical Doctor.
  • Nicole Mongilardi Division of Pulmonary and Critical Care, School of Medicine, Johns Hopkins University. Baltimore, EE. UU. Unidad de Conocimiento y Evidencia, Universidad Peruana Cayetano Heredia. Lima, Perú. Medical Doctor.
  • William Checkley Division of Pulmonary and Critical Care, School of Medicine, Johns Hopkins University. Baltimore, EE. UU. Medical Doctor, PhD.

DOI:

https://doi.org/10.17843/rpmesp.2014.311.14

Keywords:

Pulmonary disease, chronic obstructive, Biomass, Risk factors

Abstract

In this article, the relationship between chronic obstructive pulmonary disease (COPD) and biomass smoke will be discussed. More than half of the world population uses biomass for fuel, especially in rural areas and in developing countries where usage reaches 80%. Biomass smoke inhalation creates an inflammatory chronic state, which is accompanied by metalloproteinases activation and mucociliary mobility reduction. This could explain the existing association between biomass exposure and COPD, revealed by observational and epidemiological studies from developing and developed countries. In this review, the differences between COPD caused by tobacco and biomass were explored. It was found that despite the pathophysiological differences, most of the clinical characteristics, quality of life and mortality were similar. In the last ten years there have been interventions to reduce the biomass smoke exposure by using improved stoves and cleaner fuels. However, these strategies have not yet been successful due to inability to reduce contamination levels to those recommended by the World Health Organization as well as due to the lack of use. Therefore, there is an urgent need for carefully conducted, randomized field trials to determine the actual range of potentially reachable contamination reductions, the probability of use and the long term benefits of reducing the global burden of COPD.

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Published

2014-03-14

Issue

Section

Review

How to Cite

1.
Lopez M, Mongilardi N, Checkley W. Chronic obstructive pulmonary disease by biomass smoke exposure. Rev Peru Med Exp Salud Publica [Internet]. 2014 Mar. 14 [cited 2024 Dec. 10];31(1). Available from: https://rpmesp.ins.gob.pe/index.php/rpmesp/article/view/14

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