Carcinogenic risk from exposure to PM bound polycyclic aromatic hydrocarbons in rural settings.

In the study, first-time personal exposure level of polycyclic aromatic hydrocarbons (PAHs) was measured during cooking hours in participants of three different types of kitchen both in the particulate and gaseous phase using traditional and improved cookstoves. Along with that, indoor particulate matter (PM) concentration was also estimated during the cooking hours to examine the impact of intervention in different kitchens. The results of the study clearly revealed that the kitchen characteristics and type of cookstove technology have a significant impact on PM, PM and PAHs concentration. Cookstoves intervention has resulted in maximum reduction of PM i.e. 75% in an enclosed kitchen followed by semi-enclosed and open kitchen having 71% and 52%, respectively. In addition, correlation analysis of PM and PM with PAHs showed a strong association (r = 0.9), showing the affinity of PAHs to bind to fine range of particles. Health risk assessment was also carried out to assess the PM daily dose and carcinogenic and non-carcinogenic risk due to inhalation of PAHs. The study confirmed the personal concentration of PAHs compounds was significantly high (p < 0.05) during use of traditional cookstove compared to improved cookstove among all the three kitchens. Furthermore, to measure the toxicity levels, PAHs concentrations have been converted to benzo[a]pyrene equivalence for calculating cancer and non-cancer effects using toxicity equivalency factors. The overall lifetime carcinogenic risk was the highest 2.5E-03, 6.4E-04 among women who prepared meals in the enclosed kitchen compared to 8.4E-04, 1.3E-04 in semi-enclosed and 2.2E-04, 4.6E-05 in the open kitchen during use of traditional and improved cookstoves, respectively, which exceeded the US EPA standard i.e. 1 × 10. The study underlined the importance of personal monitoring for exposure, and risks-based studies along with the time-activity of user to measure the actual inhalation risk for the participants. These findings indicated that women are exposed to hazardous smoke in the indoor kitchen and are at greater risk of developing cancer, especially in rural areas.