- Title
- Carbon monoxide exposure and respiratory diseases in Wells Estate and Walmer township in Port Elizabeth, South africa
- Creator
- Ejesieme, Amarachi
- Subject
- Air -- Pollution -- South Africa -- Port Elizabeth
- Subject
- Carbon monoxide
- Subject
- Respiratory organs -- Diseases
- Subject
- Respiratory infections
- Date Issued
- 2019
- Date
- 2019
- Type
- Thesis
- Type
- Masters
- Type
- MTech
- Identifier
- http://hdl.handle.net/10948/39874
- Identifier
- vital:35496
- Description
- To ascertain household exposure to carbon monoxide (CO) and its associations with respiratory diseases in Port Elizabeth, a cross-sectional study was undertaken in Walmer Township and Wells Estate in Port Elizabeth. Ambient and indoor CO levels were measured in each township and compared with national and international air quality guideline. ChromAir® diffusion carbon monoxide badges were used for carbon monoxide measurement. Badges are relatively inexpensive and easy to use and results can be obtained after a 48-hour passive exposure. Exposure to CO was determined by measuring levels in the ambient environment and living rooms of study dwellings. The prevalence of respiratory diseases and symptoms were assessed using the iBhayi study questionnaire. The mean of ambient and indoor CO levels for the total sample was 8.02 (SD 2.43) and 0.68 (SD 1.23) ppm respectively. In this study, 40% of ambient CO measurements exceeded the World Health Organisation (WHO) 8-hour guideline of 8.7 ppm. The Student’s t-test showed that ambient (p = 0.59) and indoor (p = 0.16) CO levels in Walmer Township and Wells Estate were similar. This shows that CO exposure in both townships do not vary significantly. Fever and chills (32%), headache (19%) and runny/blocked nose (19%) were the most prevalent acute respiratory symptoms. The predominant respiratory diseases/conditions were tuberculosis (8.5%) and asthma (5.7%). CO at levels below the WHO 8-hour guidelines was significantly associated with the prevalence of acute respiratory symptoms (AOR = 2.286; 95% CI: 1.220 - 4.283). Ageing emerged as an independent risk factor for high tuberculosis prevalence in the study sites (AOR = 5.837; 95% CI: 1.654 – 20. 596). The study indicated low levels of carbon monoxide exposure in the study areas. From the findings, CO may be associated with an increase in respiratory symptoms in the study population. Increasing community awareness on sources and adverse health effects of CO exposure with improved service delivery will be helpful in reducing the burden of respiratory outcomes in the study sites.
- Format
- xii, 143 leaves
- Format
- Publisher
- Nelson Mandela University
- Publisher
- Faculty of Health Sciences
- Language
- English
- Rights
- Nelson Mandela University
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