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Air pollution from cooking with biomass fuels is associated with more than 4 million premature deaths annually, including half a million young children. To assess whether replacing open fires with cleaner-burning cookstoves could reduce pneumonia in children younger than 5 years, investigators conducted a trial in two resource-poor districts in rural Malawi where most household burn biomass fuels for cooking.
Intervention households received two cleaner-burning biomass-fueled stoves with fans that reduced smoke emissions about 90% relative to open fires, training, and means of charging, replacing, and repairing fans as needed. The primary outcome was pneumonia in children <5 years as defined by WHO Integrated Management of Childhood Illness …