E.W. "Al" Thrasher
Status: Funded - Open
Improving pneumonia surveillance and diagnosis in the Ghana household energy study
Kwaku Asante, M.D., MPH, Ph.D.
BACKGROUND: Acute lower respiratory infection (ALRI) is the leading cause of death in children under age five in sub-Saharan Africa, and smoke from cooking with biomass fuels appears to contribute significantly to this disease burden. There is an urgent need for interventions that reduce smoke exposure from biomass cooking and corresponding ALRI, while reducing fuel consumption and climate impacts.
GAP: The research is the first to test a new generation of low-cost, low-emissions cookstoves and fuels and their impact on childhood ALRI using latest advances in personal monitoring for real-time carbon monoxide exposures, co-location of PM2.5 and PM compositional analysis
HYPOTHESIS: The objective of the proposed research is to quantify the reduction in ALRI incidence in the first 12 months of life attributable to improved cookstove adoption.
METHODS: This project leverages off of a new NIH-funded cluster randomized control trial of clean-burning cookstoves in central Ghana that will test the hypothesis that smoke reduction starting in the 2nd trimester of pregnancy leads to improvements in birth weight. Infants born to the pregnant women in the parent study will be followed up until 12 months of age to determine the incidence of ALRI.
IMPACT: If the study demonstrates significant ALRI improvements, there is potential for scaling up to a national antenatal cookstove program in Ghana and other places.
The study is a collaboration between Kintampo Health Research Centre of Ghana Health Service and Mailman School of Public Health at Columbia University.