How India is choking indoors

Debasis Barik | Updated on: Jul 15, 2022
LPG use among the poor is still low

LPG use among the poor is still low | Photo Credit: RAMESH SHARMA

Indoor air pollution is as much a health hazard as outdoor pollution, and women bear the brunt of it.  Use of clean cooking fuel must increase

The mistaken belief that pollution-related illnesses can be controlled mainly by controlling outdoor air pollution, has led us to ignore the serious challenges posed by indoor air pollution. People spend a large portion of their time in homes, where solid fuels are burnt in open stoves, leading to indoor concentration levels that probably account for a larger total exposure than outdoor sources in the region.

The World Health Organization estimates that 4 million people die each year from pneumonia and other diseases caused by household air pollution.

There is growing scientific evidence to support the numerous anecdotal accounts that relate high biomass smoke levels to important health effects. These are, principally, acute respiratory illnesses in children, COPD (chronic obstructive pulmonary disease), adverse pregnancy outcomes, and lung cancer in women.

Kalpana Balakrishnan, Professor of Biophysics, Sri Ramachandra University, Chennai, terms burning of biomass in households as the single largest cause of air pollution deaths in India, followed by coal combustion and crop burning. Women, children, and the elderly are at the greatest risk from toxic emissions.

Kirk R Smith, an environmental scientist from the University of California at Berkeley, and also a member of the Intergovernmental Panel on Climate Change which received the 2007 Nobel Peace Prize, argues, “The impact of household air pollution is on a scale with any other major health risk in developing countries, including exposure to HIV, mosquitoes or dirty water.”

The causes

Firewood is the main source of fuel, used for cooking and heating in large parts of the country. Additionally, people use cow dung, crop residue, and charcoal for heating and cooking. Although many hundreds of separate chemical agents have been identified in biofuel smoke, the four most emphasised pollutants are particulates, carbon monoxide, polycyclic organic matter, and formaldehyde.

Burning wood and other biomass fuels indoors increases the concentration of PM2.5 particles. According to the latest National Family Health Survey (2019-21) report, 56 per cent of the rural households still use solid wood, and 11 per cent use grass, crop residue, or dung cake for cooking. While urban households have better access to cleaner fuels, their living conditions increase their vulnerability. Poor ventilation, cooking inside the living areas, asbestos roofing, and gaseous pollutants like formaldehyde, volatile organic compounds released from paints, etc., compound the challenge.

Recognising the public health hazards created by indoor air pollution, the government launched the Pradhan Mantri Ujjwala Yojana (PMUY) in 2016. The provision of free LPG connection to BPL households under the scheme boosted the access to clean fuel among these households as evident from the NFHS data. Usage of clean cooking fuel among rural households has increased from 24 per cent during NFHS 4 to 43 per cent during NFHS 5.

However, biomass fuels still form the backbone of major cooking activities. LPG is used for small and quicker cooking like the preparation of tea, heating cooked food, etc. Income loss due to the coronavirus pandemic and gradual increase in LPG price have added more hurdles to refilling of cylinders for subsequent rounds. The refill consumption remained pretty low (3.08 cylinders in the 12 months preceding September 2019) among the beneficiary households compared to the national average of 6.25 cylinders (14.2 kg).

To encourage refills, the government recently announced a subsidy of ₹200 per cylinder to eligible households. However, considering the high price of the cylinders (more than ₹1,000 each), a majority of these poor households might find it difficult to obtain refills.

Traditionally, cooking is regarded as the duty of the female members of the household. Since men are primary earners, any investment in clean fuel or chimney/ventilation in the kitchen becomes a low-priority affair. Research by Pallavi Choudhuri and Sonalde Desai finds that an increase in women’s incomes is associated with greater use of clean fuels, in contrast, an increase in men’s earnings is associated with consumable items like automobiles or vehicles, which increase pollution. They also argue that access to clean fuel increases the time available to women to participate in wage work and helps increase maternal time investments in child care and supervision of children’s education

As India takes over the presidency of the G-20, it would be an ideal opportunity to bring developing world sensibility to the climate commitments.

At present, much of the discourse on reducing carbon footprint emphasises vehicle emissions and fossil fuel use in the production of electricity, but much less attention is paid to the use of clean cooking fuel. Increasing the use of clean fuel will be a win-win situation for the environment as well as for women and families.

The writer is a Fellow at NCAER National Data Innovation Centre. Views are personal

Published on July 15, 2022
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