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Background: Assessment of wild edible vegetables (WEVs) from the ethnobotanical approach is a significant key to understanding indigenous knowledge systems. The available literature has revealed a tremendous decline in knowledge of WEVs over the last few decades. The main purpose of this study was to document and analyse the traditional knowledge of WEVs among the two major ethnic groups of Mizoram regarding their use and the diversity associated with the importance of traditional medicines. Secondly, a market survey will be conducted to determine the status of available WEVs. Methods: This study conducted an ethnobotanical survey among 72 informants through semi-structured interviews and questionnaires besides direct field observations. The documented data were quantitatively analysed using various ethnobotanical indices, including Informant's consensus factor (ICF), Fidelity level value (Fl), and Direct matrix ranking (DMR). A marketing survey was conducted in the Bara Bazar, Mizoram's most prominent local market. A total of 38 vendor informants were interviewed to observe and collect the price of commonly sold WEVs. Results: A total of 70 WEVs, distributed in 58 genera under 36 families, were documented and identified. Of these, 33 WEVs were of medicinal importance. Leafy vegetables were documented as the most frequently consumed parts (55.71%). The majority (44.29%) of the plants documented were consumed in fried form. The highest level of agreement among informants for food used categories was observed for plants combined with dry fish (ICF = 1). The Informant's consensus factor (ICF) of disease categories ranges from 0.75 to 1, with the highest being reported for convulsion (ICF = 1), sleep inducer (ICF = 1), and antiseptic (ICF = 1). Picria fel-terrae was the most preferred plant for hypertension treatment (100% FL). Direct matrix ranking (DMR) indicated that Dysoxylum excelsum was highly utilized by the inhabitant for multipurpose species (DMR = 64). Jaccard similarity index (JI) between the two ethnic groups was revealed at 1.26. Forty-seven WEVs were found to be commercialized in the Bara Bazar market, Aizawl, with a price range from 0.1 to 2.4 USD. Ensete superbum was reported as near threatened per the IUCN Red List of Threatened Species. Conclusion: This work highlighted the importance and rich diversity of WEVs in Mizoram, which are presently used among different age groups for food and medicine. Informants have good knowledge of WEVs, which was shared to a great extent among the inhabitants; this legacy of traditional culture must be conserved. This study further suggests a priority setting for conserving multipurpose WEVs in human-inhabited sites, investigating the recorded species' nutritional properties and pharmacological activities. [ABSTRACT FROM AUTHOR]

The sustainable development goals (SDG 7.1) reinforce to ensure that everyone has access to affordable, safe and renewable energy. In India, women are typically responsible for cooking and are most vulnerable to household air contaminants. We conducted a descriptive cross-sectional comparative study in Odisha, India between exclusive LPG (liquefied petroleum gas) users and non-LPG users. A total of 900 women, 450 from each group, were randomly selected. The LPG-users had a better predictor of physical, psychological, social, and environmental wellbeing than non-LPG users. We found the ophthalmic disorders (adjusted odds ratio (AOR) 2.87, 95% CI 1.16–7.10, p =.023), asthma (AOR 2.05, 95% CI 1.15–3.65, p =.015), and ALRI (acute lower respiratory infections) (AOR 9.19, 95% CI 2.06–40.96, p <.004) were significantly higher in non-LPG users in comparison to LPG users. Access to smokeless cooking fuel will improve women's quality of life by eliminating the consumption of biofuel and thereby providing a healthier cooking environment. [ABSTRACT FROM AUTHOR]

Background: To combat Iron deficiency anemia, an innovative pilot project, anemia prevention among adolescent girls and lactating mothers through nonpharmacological measures has been started at few places in Gujarat. To evaluate the acceptability of intervention kits provided to the beneficiaries. Material and Methods: A cross-sectional study design where 182 beneficiaries were randomly selected for interview from 12 randomly selected Anganwadi centers of intervention taluka of Junagadh district. Results: Information Education and Communication (IEC) material though available was unread by majority of beneficiaries. Iron utensils were used by 65% of beneficiaries for cooking. Only few beneficiaries (7%) daily use the provided moringa powder. Only half of the beneficiaries (53%) had grown some of the crops from the kitchen garden kit provided and knowledge of beneficiaries regarding iron-rich food was satisfactory in less than one-fifth (19%) of them. Conclusion: Study results concluded that providing nonpharmacological material is of little use until beneficiaries were properly guided and motivated by regular follow-up visits and addressing their problems; otherwise, it just stands as a mere matter of rock only. [ABSTRACT FROM AUTHOR]

Fortification of rice with micronutrients using extrusion technology is considered a sustainable strategy to prevent nutritional deficiencies in general population. The objective of the present study is to assess the retention, stability and iron bioavailability from indigenously developed triple fortified rice (iron, folic acid and vitamin B12) during rinsing and different cooking methods. Further, we also assessed the acceptability of fortified rice in adult human volunteers. The retention of iron during rinsing with excess water was ≥90%, whereas folic acid and vitamin B12 levels were reduced by ~25% during rinsing. Watertight cooking of rice (in electric cooker or on flame) had no additional effect on the nutrient levels as compared with rinsed rice, implying their stability during cooking. However, cooking with excess water followed by decanting led to loss of 45% iron and ≥70% folic acid and vitamin B12. The dialyzable iron and ferritin synthesis in Caco‐2 cells was significantly (P <.01) higher from fortified rice compared with unfortified rice. In addition, inclusion of ascorbic acid significantly (P <.01) increased the iron bioavailability from the fortified rice. Triangle tests in adult human subjects revealed that there are no significant sensory differences among fortified and unfortified rice. Further, fortified rice consumption appears to bridge the gaps in dietary iron intake deficits in children and women of reproductive age. These results suggest that the iron‐, folic acid‐ and vitamin B12‐fortified rice has higher retention and stability of fortified nutrients and is acceptable for consumption in adult human volunteers. [ABSTRACT FROM AUTHOR]

BACKGROUND: Household air pollution (HAP) from solid fuel use for cooking affects 2.5 billion individuals globally and may contribute substantially to disease burden. However, few prospective studies have assessed the impact of HAP on mortality and cardiorespiratory disease. OBJECTIVES: Our goal was to evaluate associations between HAP and mortality, cardiovascular disease (CVD), and respiratory disease in the prospective urban and rural epidemiology (PURE) study. METHODS: We studied 91,350 adults 35-70 y of age from 467 urban and rural communities in 11 countries (Bangladesh, Brazil, Chile, China, Colombia, India, Pakistan, Philippines, South Africa, Tanzania, and Zimbabwe). After a median follow-up period of 9.1 y, we recorded 6,595 deaths, 5,472 incident cases of CVD (CVD death or nonfatal myocardial infarction, stroke, or heart failure), and 2,436 incident cases of respiratory disease (respiratory death or nonfatal chronic obstructive pulmonary disease, pulmonary tuberculosis, pneumonia, or lung cancer). We used Cox proportional hazards models adjusted for individual, household, and community-level characteristics to compare events for individuals living in households that used solid fuels for cooking to those using electricity or gas. RESULTS: We found that 41.8% of participants lived in households using solid fuels as their primary cooking fuel. Compared with electricity or gas, solid fuel use was associated with fully adjusted hazard ratios of 1.12 (95% CI: 1.04, 1.21) for all-cause mortality, 1.08 (95% CI: 0.99, 1.17) for fatal or nonfatal CVD, 1.14 (95% CI: 1.00, 1.30) for fatal or nonfatal respiratory disease, and 1.12 (95% CI: 1.06, 1.19) for mortality from any cause or the first incidence of a nonfatal cardiorespiratory outcome. Associations persisted in extensive sensitivity analyses, but small differences were observed across study regions and across individual and household characteristics. DISCUSSION: Use of solid fuels for cooking is a risk factor for mortality and cardiorespiratory disease. Continued efforts to replace solid fuels with cleaner alternatives are needed to reduce premature mortality and morbidity in developing countries. [ABSTRACT FROM AUTHOR]

India is predominantly a rural country, where more than two-thirds of the population live in rural areas. The majority of the rural population use crop residue, firewood, and dung cake as cooking fuel sources. Combustion of these fuels emits life-threatening pollutants that contaminate the household environment, which can have serious health consequences, especially for young children. This study examines the use of cooking fuel sources and their association with acute respiratory infections (ARIs) in children aged 0–59 months. This study used data from the second update of the Annual Health Survey (2012–13). The prevalence rate was measured in terms of the number of children per 1000 children suffering from ARIs. Bivariate analysis was used to analyze the use of different cooking fuels (in percentage) and the prevalence of ARIs in Uttar Pradesh. District-level variations in the cooking fuels used were assessed by simple bivariate analysis for all districts of Uttar Pradesh. A logistic regression was used to examine the association of household environment and pollutants with ARIs. In total, 89 per 1000 children suffered from ARIs in Uttar Pradesh. Infants (0–11 months) were significantly more likely to suffer from ARIs than older children (12–59 months). Households using dung cake for cooking and kerosene and other oils for lighting were found to have significantly higher odds for ARIs (odds ratio [OR]: 1.21; 95% confidence interval [CI]: 1.17–1.25 and OR: 1.07; 95% CI: 1.05–1.10, respectively). A considerable interdistrict difference was observed in the cooking fuel used and the prevalence of ARIs among children aged 0–59 months. The type of cooking fuel and lighting source used were found to be significant predictors of ARIs among children aged 0–59 months. These results highlight the need for targeted efforts for the provision of clean cooking fuels (liquid petroleum gas/biogas/electricity) and for the improvement in knowledge and awareness of ARIs and exposure to cooking and lighting pollution. • 37.6% of households use dung cake as a cooking fuel and only 13.5% use clean fuels. • Interdistrict differences in cooking fuel sources and prevalence of acute respiratory infections (ARIs) are significant. • Type of cooking fuel and lighting source were found to be significant predictors of ARI. • This study helps to understand the prevalence of ARI and their determinants. [ABSTRACT FROM AUTHOR]

Wood smoke causes adverse effects on pulmonary function (PF) in women in developing countries. This study compared PF among rural tribal women in northeastern India among 266 wood users and 82 liquefied petroleum gas (LPG) users, all healthy nonsmoking women from April to July, 2014. PF measurements included FVC, FEV1, FEV1/FVC, PEF, and FEF25-75%. Information on participants' health status, demographic, and socioeconomic characteristics were collected by questionnaire. Multiple linear regressions were performed to compare PF between the two groups, adjusting for potential confounders. Wood users had significantly lower pulmonary values than LPG users: FVC (2.65 vs. 2.85 L, p < .001), FEV1 (1.46 vs. 1.92 L, p < .001), PEF (1.89 vs. 2.56 L/s, p < .001), and FEF25-75% (1.12 vs. 1.68 L/s, p < .001) except for FEV1/FVC (76.5 vs. 75.5 percent, p = .27). Wood use was associated with 7 percent lower FVC, 24 percent lower FEV1, 1.3 percent lower FEV1/FVC, 26 percent lower PEF, and 33 percent lower FEEF25-75% compared to LPG use. Wood use was associated with a 0.27-L decrease in FEV1, adjusted for covariates. Women cooking with wood had lower PF and more respiratory symptoms and gastritis than those using LPG. Thus, reducing indoor air pollution from biomass burning is needed to protect tribal women's health. [ABSTRACT FROM AUTHOR]

Background: The main causative agents of bovine tuberculosis (TB) are Mycobacterium bovis and to a lesser extent, Mycobacterium caprae. The zoonotic transmission of these pathogens occurs primarily through close contact with infected cattle or consumption of contaminated animal products such as unpasteurized milk. Objectives: The objective of this study is to assess the association of practices potentially increasing the risk of zoonotic TB (zTB) among cattle holders in the peri-urban area of Sonipat district. Methodology: This study was carried out among 100 cattle holders. The snowball sampling method was used to select the study units. Those who were handling cattle at home for the maximum time were included under the study (one per household). Face-to-face interviews were carried out using a structured questionnaire. The modified Kuppuswamy scale was used for the segregation of risk. Results: Only 4% of participants have heard about zTB and belonged to the middle and upper-middle class. Dietary practices such as consumption of boiled milk and cooked meat, mixed type of milk, meat, and raw milk were found to be 15% (40–49 years), 68% (20–29 years), 3%, and 9% (30–39 years), respectively. Cooked meat was consumed by 15% of participants, of which 12% were of 20–29 years and 3% were of 30–39 years, whereas 3% (20–29 years) population was consuming mixed form of meat. Conclusion: The risky practices such as attending animal fares, treating sick cattle, and contact with stray animal and in dietary practices of milk and meat consumption increase the zTB risk. [ABSTRACT FROM AUTHOR]

Ethnopharmacological relevance Terminalia bellerica Roxb. fruits are rich in a variety of biologically active ingredients. Tharu and Buksa tribes of Udham Singh Nagar, Uttarakhand, India use grilled fruits of Terminalia bellerica as an effective cure for diarrhea Aim of the study We validated the ethnobotanical claim by comparing the antidiarrheal effect of grilled fruits (GF) with dried fruits (DF). Materials and methods The 50% ethanolic extracts of GF and DF were successively fractionated; the antioxidant and bacterial inhibition activity were studied using DPPH free radical scavenging, anti-lipid peroxidation and broth dilution method respectively. Difference in metabolites of ethyl acetate fractions of GF and DF was analyzed using GC-MS, gallic acid content was determined through HPTLC. Further the in-vivo antidiarrheal effect of ethyl acetate fractions of DF and GF was studied on castor oil induced diarrhea model. Results The ethyl acetate fractions showed potential DPPH free radical scavenging (IC 50 11.13 µg/ml in DF and 8.56 µg/ml in GF), anti-lipid peroxidation and antibacterial activity. The non-targeted metabolic profiling showed higher content of tartaric acid, valeric acid, gallic acid, succinic acid, oxalic acid, malonic acid, malic acid, 1,2,3 trisbenzene, uridine and 11-eicosenoic acid in GF. The HPTLC results indicated that gallic acid content was 2.8 (±0.14) and 4.92 (±0.28) mg/g while ellagic acid content was 4.7 (±0.32) and 4.45 (±0.45) mg/g dry powder in DF and GF respectively. According to i n vivo antidiarrheal activity DF and GF (100 mg/kg oral) inhibited diarrhea by 41.87% and 71.72% respectively. Conclusion Grilling significantly altered the levels of metabolites in T. bellerica fruits which could be responsible for its increased therapeutic potential. [ABSTRACT FROM AUTHOR]

BACKGROUND: Biomass cooking fuels are commonly used in Indian households, especially by the poorest socioeconomic groups. Cataract is highly prevalent in India and the major cause of vision loss. The evidence on biomass fuels and cataract is limited. OBJECTIVES: To examine the association of biomass cooking fuels with cataract and type of cataract. METHODS: We conducted a population-based study in north and south India using randomly sampled clusters to identify people ≥ 60 years old. Participants were interviewed and asked about cooking fuel use, socioeconomic and lifestyle factors and attended hospital for digital lens imaging (graded using the Lens Opacity Classification System III), anthropometry, and blood collection. Years of use of biomass fuels were estimated and transformed to a standardized normal distribution. RESULTS: Of the 7,518 people sampled, 94% were interviewed and 83% of these attended the hospital. Sex modified the association between years of biomass fuel use and cataract; the adjusted odds ratio (OR) for a 1-SD increase in years of biomass fuel use and nuclear cataract was 1.04 (95% CI: 0.88, 1.23) for men and 1.28 (95% CI: 1.10, 1.48) for women, p interaction = 0.07. Kerosene use was low (10%). Among women, kerosene use was associated with nuclear (OR = 1.76, 95% CI: 1.04, 2.97) and posterior subcapsular cataract (OR = 1.71, 95% CI: 1.10, 2.64). There was no association among men. CONCLUSIONS: Our results provide robust evidence for the association of biomass fuels with cataract for women but not for men. Our finding for kerosene and cataract among women is novel and requires confirmation in other studies. CITATION: Ravilla TD, Gupta S, Ravindran RD, Vashist P, Krishnan T, Maraini G, Chakravarthy U, Fletcher AE. 2016. Use of cooking fuels and cataract in a population-based study: the India Eye Disease Study. Environ Health Perspect 124:1857-1862; http://dx.doi.org/10.1289/EHP193 [ABSTRACT FROM AUTHOR]

With the establishment of the Food Safety and Standards Authority of India (FSSAI) and new food safety regulations, a precedent has been set to prevent foodborne illness in India. The objective of the authors' study was to identify knowledge gaps among food handlers in Chennai, Tamil Nadu, to establish priorities for future intervention. A 44-question survey was administered to 156 food handlers at 36 restaurants in Chennai between April and June of 2011. The overall mean knowledge score was 49% and knowledge gaps related to hand hygiene, proper food cooking and holding temperatures, and cross contamination were identified. Food handlers with a Medical Fitness Certificate scored significantly higher than those without a certificate, after controlling for food safety training and level of education (p < .05). As the FSSAI standards now require a medical certificate for restaurant licensure and registration, consideration should be given to include an educational component to this certification with an explanation of expected food safety behavior. [ABSTRACT FROM AUTHOR]

Objective. This study aims to quantify the prevalence of work-related musculoskeletal disorders (MSDs) and risks among male kitchen workers in the catering industry. Method. Data were collected with the help of the Nordic musculoskeletal questionnaire and by direct observations. Results. In total, 114 male kitchen workers from various hostels of a college in South India were considered for this study. The average age and mean years of employment of the workers are 26.4 (SD 7.7) and 7.8 respectively. The statistical analysis carried out reveals that 67.5% of male kitchen workers reported MSDs during the past 12 months. The highest prevalence rate has been found in the lower back (65.8%) and shoulder region (62.3%). Among different categories of kitchen work analyzed, it is evident that chief cooks suffer more from MSDs (79.2%) than assistant cooks (74.3%) and kitchen aides (30.0%). Workers in the older group, i.e., ≥41 years, and workers with 6-10 years of experience suffer with higher risk of MSDs, i.e., 93.9% and 87.5%, respectively. Conclusion. The male kitchen workers who participated in this research were found to possess both MSDs and ergonomic hazards. [ABSTRACT FROM AUTHOR]

Abstract: Cooking with biomass fuel, a common practice in rural India, is associated with a high level of indoor air pollution (IAP). The aim of this study was to investigate whether IAP from biomass burning increases the risk of depression. For this cross-sectional study, we enrolled a group of 952 women (median age 37 years) who cooked regularly with biomass and a control group of 804 age-matched women who cooked with cleaner fuel (liquefied petroleum gas). Depression was assessed using the second edition of Beck’s depression inventory (BDI-II). Platelet P-selectin expression was assessed by flow cytometry and platelet serotonin was measured by ELISA. Particulate matter having diameter of less than 10 and 2.5 μm (PM10 and PM2.5, respectively) in indoor air was measured by real-time aerosol monitor. Carbon monoxide (CO) in exhaled breath was measured by CO monitor. Compared with the control group, women who cooked with biomass had a higher prevalence of depression and depleted platelet serotonin, suggesting altered serotonergic activity in the brain. In addition, P-selectin expression on platelet surface was up-regulated implying platelet hyperactivity and consequent risk of cardiovascular disease. Biomass-using households had increased levels of PM10 and PM2.5, and biomass users had elevated levels of CO in expired air. Controlling potential confounders, cooking with biomass was found to be an independent and strong risk factor for depression. IAP from cooking with biomass is a risk for depression among rural women in their child-bearing age. [Copyright &y& Elsevier]

• Under-5 children from biomass fuel user families were mostly affected by ARI. • Children aged of 6–23 months had higher risk to the prevalence of ARI. • Smoking habit also significantly predicted higher probability of ARI among children. Acute respiratory infection (ARI) is one of the major causes of childhood morbidity which leads to mortality as well. The study aimed to estimate the effect of household cooking fuels and smoking habits on the prevalence of ARI among under-five children over India. This study employs nationally representative data National Family Health Survey (NFHS-4: 2015–2016) which was gathered and arranged by International Institute for Population Science, Mumbai as the Nodal Agency under the patronage of the Ministry of Health and Family welfare, Government of India. The χ2 test implemented to assess the difference by the prevalence of ARI against the use of household cooking fuels, smoking habits and socio-demographic characteristics. Then binary logistic regression models were incorporated to look at the crude and net impact of cooking fuels used in households on childhood ARI. ARI was mostly affective for those children who were from those households where biomasses were the main source of cooking fuels and significantly the prevalence of ARI was related to the combustion of biomass fuels for cooking (p < 0.0005). The smoking habits (OR = 1.42, CI: 1.18–1.70) and use of biomass cooking fuels (OR = 1.03, CI: 0.86–1.08) significantly predicted the higher probability of ARI prevalence among children. Therefore children should be kept away from the kitchen during cooking and the kitchen room should have sufficient open space to evacuate the pollutants easily. [ABSTRACT FROM AUTHOR]