Conference Papers

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This collection contains abstracts of conference papers, presented at local and international conferences by the staff of the Faculty of Medicine

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Author: search.filters.author.Nandasena, Y.L.S.Has files: Yes

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    Socio-demographic characteristics and principal cooking fuel type in Sri Lanka: comparison of data from two Demographic and Health Surveys
    (College of Community Physicians of Sri Lanka, 2009) Nandasena, Y.L.S.; Wickremasinghe, A.R.; Sathiakumar, N.
    INTRODUCTION: Indoor air pollution is a growing public health concern due to its well documented ill effects. Biomass- cooking fuel is the main source of indoor air pollution in the majority of households in the developing world. OBJECTIVES: To determine the trends of cooking fuel pattern and associated factors in Sri Lanka. METHODS: Determinants and the use of cooking fuel in households in Sri Lanka were abstracted from data collected by the Demographic Health Surveys (DHS) of 2000 and 2007. The DHS was based on a representative sample (multi-stage stratified probability sample) of the whole country except the provinces afflicted by the war. The results are based on a sample of 8,169 households in 2000 and 19,862 households in 2007. RESULTS: Firewood was the principal type of cooking fuel in 78.3%(n=6397) and 78.5%(n=15592) of households in years 2000 and 2007, respectively. In 2007, 96.3%(n=897) of estate sector households used firewood as compared to 84.2%(n=13850) in the rural and 34.6%(n=859) in the urban sector. Similar trends were seen in year 2000 as well. Electricity was the main source of lighting in 68%(n=5571) of households in year 2000 and the corresponding figure for year 2007,was 80%(n=15890). In year 2000, 25.9%(n=1442) of the houses having electricity used clean fuel (electricity/ LP gas) for cooking and the rest relied on biomass or kerosene. The higher the educational level of the respondent, the more likely the household will use a clean fuel (Chi square for trend: p<0.001). CONCLUSION: The shift from firewood to cleaner fuels in Sri Lanka is negligible from 2000 to 2007. Improving the quality of life of the population does not necessarily predict a shift towards the use of cleaner cooking fuels in Sri Lanka.
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    Fine particle air pollution due to secondhand smoke in selected public places in Colombo
    (College of Community Physicians of Sri Lanka, 2009) Nandasena, Y.L.S.; Wickremasinghe, A.R.; Lee, K.; Sathiakumar, N.
    INTRODUCTION: Globally, about five million deaths per year are attributed to tobacco smoke. Secondhand smoke accounts for a substantial proportion of these deaths. Most countries including Sri Lanka have legislation banning smoking in indoor workplaces and public places. Certain public places such as entertainment venues continue to permit smoking. Particulate matter (PM2.5) is a widely accepted indicator to evaluate secondhand smoke levels. OBJECTIVE: To determine PM2.5 concentrations in selected public places (defined as a space which can be visited without permission) in Colombo, Sri Lanka. METHODS: Using convenient sampling technique, we measured PM2.5 concentration levels in four types of public places (restaurants: n=6; bars: n=6; cafes: n=4; pubs and entertainment venues: n=4) during January to March, 2009. A particulate matter monitor (Model AM510 - SIDEPAK Personal Aerosol Monitor) was used to measure indoor air quality for 40 minutes and the immediate outdoors for 10 minutes before and after the indoor measurement. RESULTS: The mean indoor PM2.5 concentration was 124.9 ug/m3 (SD± 81.0) [range 33 ug/m3 - 299 ug/m3; median, 97.0 ug/m3]. The mean outdoor PM2.5 concentration was 39.7 ug/m3 (±14.3) [range 18 ug/m - 83 ug/m3; median, 37.5 ug/m3]. Indoor to outdoor (I/O) PM2.5 ratio ranged from 1.1 to 14.9. The highest PM2.s concentration was recorded in a bar and the highest I/O ratio in an entertainment venue. Smoking density (number of burning cigarettes divided by volume of the public place) was not correlated with average indoor PM2.5 concentration (Pearson correlation = 0.36, p=0.12) or with I/O PM2.5 ratio (Pearson correlation = 0.07, p=0.76). The reported values are equal or above, compared to such venues in other countries. CONCLUSION: The authorities should take steps in enforcing the smoking ban in public places. Areas where smoking is permitted, proper ventilation should be ensured.