Background: Indoor air pollution could play an important role in the s
usceptibility to respiratory diseases of vulnerable individuals, such
as elders and infants. Aim: To evaluate indoor air pollution in a low
income population of South East Santiago. Subjects and methods: A domi
ciliary survey of contaminant sources was carried out in the houses of
a cohort of 522 children less than one year old. Using a case-control
design, 121 children consulting for respiratory diseases were conside
red as cases and 131 healthy infants of the same age and sex were cons
idered as controls. In the houses of both groups, active monitors for
particulate matter (PM10) and passive monitors for NO2 were installed.
Results: Forty two percent of fathers and 30% of mothers were smokers
, and in two thirds of the families there was at least one smoker. Eig
hty five percent used portable heaters in winter. Of these, 77% used k
erosene as fuel. Only 27% had water heating appliances. The rest heate
d water on the kitchen stove or on bonfires. Most kitchen stoves used
liquid gas as fuel. Twenty four hour PM10 was 109 +/- 3.2 mu g/m(3). M
ean indoor and outdoor NO2 in 24 h was 108 +/- 76.3 and 84 +/- 53.6 mu
g/m(3) respectively. Indoor NO2 levels were related to the use of hea
ting devices and smoking. No differences in PM10 and NO2 levels were o
bserved between cases and controls. Conclusions: There is a clear rela
tionship between indoor pollution and contaminating sources. Indoor NO
2 levels are higher than outdoors.