Epidemiology and outcomes of cooking and cookstove-related burn injuries: a World Health Organization (WHO) Global Burn Registry (GBR) report

Cooking- and cookstove-related burns (CSBs) comprise a large proportion of burn injuries globally, but there are limited data on cooking behavior patterns to inform prevention and advocacy. Therefore, we aimed to describe the epidemiology, risk factors and outcomes of these injuries and highlight the potential of the World Health Organization (WHO) Global Burn Registry (GBR). Patients with cooking-related burns were identified in the WHO GBR. Patient demographics, cooking arrangement, injury characteristics and outcomes were described and compared. Bivariate regression was performed to identify risk factors associated with CSBs. Analysis demonstrated that 25% of patients in the GBR sustained cooking-related burns (n=1,723). The cooking environment and cooking fuels used varied significantly by country income level ([electricity use: LIC 1.6 vs MIC 5.9 vs HIC 49.6%; p<0.001] [kerosene use: LIC 5.7 vs MIC 10.4 vs HIC 0.0%; p<0.001]). Of cooking-related burns, 22% were cookstove-related burns (CSBs; 311 burns). Patients with CSBs were more often female (65% vs 53%; p<0.001). CSBs were significantly larger in TBSA size (30%, IQR 15-45 vs 15%, IQR 10-25; p<0.001), had higher revised Baux scores (70, IQR 46-95 vs 28, IQR 10-25; p<0.001) and more often resulted in death (41 vs 11%; p<0.001) than other cooking burns. Patients with CSBs were more likely to be burned by fires (OR 4.74; 95% CI 2.99-7.54) and explosions (OR 2.91, 95% CI 2.03-4.18) than other cooking injuries. Kerosene had the highest odds of CSB compared to other cooking fuels (OR 2.37, 95% CI 1.52-3.69). In conclusion, CSBs specifically have different epidemiology than cooking-related burns. CSBs were more likely caused by structural factors (e.g., explosion, fire) than behavioral factors (e.g., accidental movements) when compared to other cooking burns. These differences suggest prevention interventions for CSBs may require distinctive efforts than typically deployed for cooking-related injuries, and necessarily involve cookstove design and safety regulations to prevent fires and explosions.

Socio-ecological determinants of under-five mortality in Nigeria: exploring the roles of neighbourhood poverty and use of solid cooking fuel

Globally, despite the decline in under-five mortality rate from 213 per 1000 live births in 1990 to 132 per 1000 live births in 2018, the pace of decline has been slow, and this can be attributed to poor progress in child survival interventions, including those aimed at reducing children’s exposure to household pollution. This study examined the influence of neighbourhood poverty and the use of solid cooking fuels on under-five mortality in Nigeria. Data for the study comprised a weighted sample of 124,442 birth histories of childbearing women who reported using cooking fuels in the kitchens located within their house drawn from the 2018 Nigeria Demographic and Health Survey. Descriptive and analytical analyses were carried out, including frequency tables, Pearson’s chi-squared test and multivariate analysis using a Cox proportional regression model. The results showed that the risk of under-five mortality was significantly associated with mothers residing in areas of high neighbourhood poverty (HR: 1.44, CI: 1.34–1.54) and the use of solid cooking fuels within the house (HR: 2.26, CI: 2.06–2.49). Government and non-governmental organizations in Nigeria should initiate strategic support and campaigns aimed at empowering and enlightening mothers on the need to reduce their use of solid cooking fuels within the house to reduce harmful emissions and their child health consequences.

Determinants of Household Energy Choice for Cooking in Northern Sudan: A Multinomial Logit Estimation

Traditional biomass utilization is connected with negative environmental and human health impacts. However, its transition to cleaner cooking fuels is still low where the household’s fuels preferences play an important role in the process. To examine the factors that influence the household’s cooking fuel choice in Northern Sudan, a multinomial logit model (MNL) was used to analyze data collected from Kassala state in two selected districts, New Halfa and Nahr Atabara. The findings show that the most utilized fuels are still firewood and charcoal, which are used by 63.4% of all respondents. The results also revealed that socioeconomic factors have an impact on household fuel choice, where one additional unit of credit access may boost the possibility of choosing LPG by 22.7%. Furthermore, one additional level of education would reduce 5.4% of charcoal users while simultaneously raising 10% of current liquefied petroleum gas (LPG) users. Therefore, the study suggests initiating mobilization and training programs to raise awareness and encourage the usage of cleaner fuels. This study will provide policymakers with information on household cooking energy utilization while designing and developing policies related to energy. It will also contribute to the expanding body of literature concerning the transition to clean cooking fuels from traditional biomass.

Electric Cooking Diary in Bangladesh: Energy Requirement, Cost of Cooking Fuel, Prospects, and Challenges

Detrimental effects exerted by biomass-based traditional cookstoves on health, environment, hygiene, and the soaring price of gas makes it imperative to investigate the feasibility of electric cooking as a promising clean cooking fuel in the context of Bangladesh. However, the adoption of electric cooking is unlikely to be welcomed if the monthly cost of electricity consumed by the electric cooking appliances is not comparable to traditional cooking fuels. So far, no study has been reported in this respect. Therefore, this paper is aimed to assess the energy consumption of available electric cooking appliances for cooking typical Bangladeshi dishes. Estimated monthly electricity cost of electric cooking is also reported and then compared to that of traditional cooking fuels. For the study purpose, three respondent families were provided with a rice cooker, hot plate, induction cooker and electric pressure cooker for cooking their daily meals. After four months of use, data related to dish cooked, amount of food, cooking time, and energy consumption were collected which shows that hot plate and rice cooker were the least preferred appliances due to their poor workmanship and limited use respectively. On the contrary, despite the fact that electric pressure cookers cannot perform all types of frying, it was the most preferred appliance owing to its ability to significantly reduce the cooking time and its less energy consumption. Induction cooker was less preferred for the additional requirement of compatible cook pots. The study also reveals that monthly energy requirements for electric cooking varied from 72–87 kWh corresponding to a cooking electricity bill ranging from BDT 504–609 per month (USD 6–7.5) which is less expensive as compared with biomass and LPG based cooking. This paper also highlights the prospects and challenges associated with the adoption of electricity as the primary cooking fuel in Bangladesh.

The Non-Linear Effects of Energy Efficiency Gains on the Incidence of Energy Poverty

Energy poverty is defined as insufficient access to modern energy resources which are relatively cleaner than the traditionally utilized ones. In this regard, the incidence of energy poverty is particularly higher in the cases of the developing countries across the globe. Accordingly, the chronic energy poverty issues in the developing countries within Sub-Saharan Africa have become a major socioeconomic and environmental concern for the associated governments. Hence, this study aims to evaluate the effects of energy efficiency gains and shocks to other key macroeconomic factors on energy poverty in the context of selected Sub-Saharan African nations. In this study, we measure energy poverty in terms of the lack of access to clean cooking fuels and technologies for the population of the selected Sub-Saharan African countries. The overall findings from the common correlated effects panel regression analysis reveal that energy efficiency gains initially aggravate the energy poverty situation but improve it later on; consequently, a U-shaped relationship between energy efficiency and access to clean cooking fuels and technologies is evidenced. Besides, the predicted threshold levels of energy efficiency are observed to be higher than the average energy efficiency level of the Sub-Saharan African nations. Moreover, the results also portray that economic growth, carbon dioxide emissions, foreign direct investment inflows, and international trade are effective in reducing energy poverty. Conversely, financial development is witnessed to be ineffective in influencing the incidence of energy poverty in this region.

Household cooking fuel estimates at global and country level for 1990 to 2030

Household air pollution generated from the use of polluting cooking fuels and technologies is a major source of disease and environmental degradation in low- and middle-income countries. Using a novel modelling approach, we provide detailed global, regional and country estimates of the percentages and populations mainly using 6 fuel categories (electricity, gaseous fuels, kerosene, biomass, charcoal, coal) and overall polluting/clean fuel use – from 1990-2020 and with urban/rural disaggregation. Here we show that 53% of the global population mainly used polluting cooking fuels in 1990, dropping to 36% in 2020. In urban areas, gaseous fuels currently dominate, with a growing reliance on electricity; in rural populations, high levels of biomass use persist alongside increasing use of gaseous fuels. Future projections of observed trends suggest 31% will still mainly use polluting fuels in 2030, including over 1 billion people in Sub-Saharan African by 2025.