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Amanda Northcross Assistant Professor Department Environmental and Occupational Health

Department Environmental and Occupational Health€¦ · John Olajumilo & Tope Ibigbami HLF (Data collection) Acknowledgments. Field Team Acknowledgments. Randomized Control Trial

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Page 1: Department Environmental and Occupational Health€¦ · John Olajumilo & Tope Ibigbami HLF (Data collection) Acknowledgments. Field Team Acknowledgments. Randomized Control Trial

Amanda Northcross

Assistant ProfessorDepartment Environmental and

Occupational Health

Page 2: Department Environmental and Occupational Health€¦ · John Olajumilo & Tope Ibigbami HLF (Data collection) Acknowledgments. Field Team Acknowledgments. Randomized Control Trial

Study Participants

Sola Olopade- UC (PI)

Oladosu Ojengbede UI-UCH (local-PI)

Donee Alexander – GACC, formerly UC

Matthew Shupler GW (SUMS analysis)

Nina Hwang GW (GPS analysis)

John Olajumilo & Tope Ibigbami HLF (Data collection)

Acknowledgments

Page 3: Department Environmental and Occupational Health€¦ · John Olajumilo & Tope Ibigbami HLF (Data collection) Acknowledgments. Field Team Acknowledgments. Randomized Control Trial

Field Team

Acknowledgments

Page 4: Department Environmental and Occupational Health€¦ · John Olajumilo & Tope Ibigbami HLF (Data collection) Acknowledgments. Field Team Acknowledgments. Randomized Control Trial

Randomized Control Trial

Ethanol Cookstove Intervention

<18 weeks gestation

Low birthweight

Study Overview

Page 5: Department Environmental and Occupational Health€¦ · John Olajumilo & Tope Ibigbami HLF (Data collection) Acknowledgments. Field Team Acknowledgments. Randomized Control Trial

Study Location: Ibadan, Nigeria

Google Maps

Franklin Israel

Page 6: Department Environmental and Occupational Health€¦ · John Olajumilo & Tope Ibigbami HLF (Data collection) Acknowledgments. Field Team Acknowledgments. Randomized Control Trial

Ambient Sources in Ibadan

North of Lagos/Cara Titilayo Harshman

TrafficGeneratorsTrash Burning

Page 7: Department Environmental and Occupational Health€¦ · John Olajumilo & Tope Ibigbami HLF (Data collection) Acknowledgments. Field Team Acknowledgments. Randomized Control Trial

Traditional Cooking sources

Nigeriaeye.com

Firewood stove Kerosene stove

Page 8: Department Environmental and Occupational Health€¦ · John Olajumilo & Tope Ibigbami HLF (Data collection) Acknowledgments. Field Team Acknowledgments. Randomized Control Trial

Intervention Stove

Ethanol Stove

Page 9: Department Environmental and Occupational Health€¦ · John Olajumilo & Tope Ibigbami HLF (Data collection) Acknowledgments. Field Team Acknowledgments. Randomized Control Trial

Exposure Assessment Plan

• 72 hour monitoring

– 2nd and 3rd trimesters

– PM2.5, CO

• 12-48 hour GPS

• Stove use monitoring

Page 10: Department Environmental and Occupational Health€¦ · John Olajumilo & Tope Ibigbami HLF (Data collection) Acknowledgments. Field Team Acknowledgments. Randomized Control Trial

Exposure Assessment Goals

1. Do the study participants use the

intervention stove?

2. Does the intervention group have lower

exposures to PM and CO than the control

group?

3. How do ambient exposures impact daily

exposures?

Page 11: Department Environmental and Occupational Health€¦ · John Olajumilo & Tope Ibigbami HLF (Data collection) Acknowledgments. Field Team Acknowledgments. Randomized Control Trial

Did the

participants use

the stove?

Yes

Page 12: Department Environmental and Occupational Health€¦ · John Olajumilo & Tope Ibigbami HLF (Data collection) Acknowledgments. Field Team Acknowledgments. Randomized Control Trial

Stove Use Analysis

Page 13: Department Environmental and Occupational Health€¦ · John Olajumilo & Tope Ibigbami HLF (Data collection) Acknowledgments. Field Team Acknowledgments. Randomized Control Trial

Consistent Stove Usage

Matt Shupler

Page 14: Department Environmental and Occupational Health€¦ · John Olajumilo & Tope Ibigbami HLF (Data collection) Acknowledgments. Field Team Acknowledgments. Randomized Control Trial

Does the intervention group have lower exposures to PM2.5 and CO

than the control group?

Intervention Control

Page 15: Department Environmental and Occupational Health€¦ · John Olajumilo & Tope Ibigbami HLF (Data collection) Acknowledgments. Field Team Acknowledgments. Randomized Control Trial

How do ambient exposures

impact daily exposures?

Page 16: Department Environmental and Occupational Health€¦ · John Olajumilo & Tope Ibigbami HLF (Data collection) Acknowledgments. Field Team Acknowledgments. Randomized Control Trial

Methods

PM2.5 (µg/m3)

72h monitoring

GPS (longitude, latitude)

12h monitoring

+ household coordinates

Page 17: Department Environmental and Occupational Health€¦ · John Olajumilo & Tope Ibigbami HLF (Data collection) Acknowledgments. Field Team Acknowledgments. Randomized Control Trial

Sample Participant Exposure

Map

20m2km

PM2.5 Concentration

(ug/m3)

0-15

16-25

26-35

36-50

50-200

PM2.5 Concentration

(ug/m3)

0-15

16-25

26-35

36-50

50-200

Page 18: Department Environmental and Occupational Health€¦ · John Olajumilo & Tope Ibigbami HLF (Data collection) Acknowledgments. Field Team Acknowledgments. Randomized Control Trial

Participant 345’s

house

PM2.5

Concentration

(ug/m3)

Non-Household vs Household

Page 19: Department Environmental and Occupational Health€¦ · John Olajumilo & Tope Ibigbami HLF (Data collection) Acknowledgments. Field Team Acknowledgments. Randomized Control Trial

Conclusions

• Cleancook stove is used continuously

and preferentially

• Cleancook reduces exposures to PM2.5

and CO

• Reducing household level exposures

results in greater reductions of personal

exposures

Page 20: Department Environmental and Occupational Health€¦ · John Olajumilo & Tope Ibigbami HLF (Data collection) Acknowledgments. Field Team Acknowledgments. Randomized Control Trial

Next Steps

• PAH and Black Carbon exposures

• Expanding GPS analysis

• Combining exposure, GPS and SUMS

• Comparing exposures for primary and

other adults in the home

• Developing ambient monitoring network

in Ibadan