Household energy and indoor air pollution pose a substantial threat to the health of the world’s poor. Although there are gaps in our knowledge of the health risks and the most effective interventions and appropriate policies at international, national and local levels, there is enough evidence to justify action now. This report is based on a WHO/USAID Global Consultation on the Health Impact of Indoor Air Pollution and Household Energy in Developing Countries (Washington DC, 3-4 May 2000). It is aimed at a general audience interested in household energy, indoor air and health issues. A companian technical report based in part on the meeting’s deliberations was prepared for the Comission on Macroeconomics and Health, and can be consulted for further information and reference material (1). The report sets out the rationale for action, and the priority research and policy interventions that can help achieve this goal are discussed. The context in which household energy is used is highlighted, as well as the impact on everyday life and prospects for development. Attention is then given to the evidence we now have on the risks to health arising from exposure of women and young children to smoke in the home, and the overall significance of this for the health of populations in poor countries. Potential economic benefits, options for interventions, together with approaches to assessing effectiveness and suitability, are subsequently considered. Finally, recommendations are made for concerted action to help bring about substantial improvements in the situation for poor communities.

Based on the WHO-USAID Global Consultation on the Health Impact of Indoor Air Pollution and Household Energy in Developing Countries (Meeting Report)