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In The World Health Report 2002, issued by the World Health Organization, it is estimated that indoor air pollution from household use of solid fuels results in 1.6 million deaths annually. This indoor smoke is a leading health risk in developing countries, claiming more lives than malaria and causing nearly as many deaths as are caused by dirty water and poor sanitation.

The linkages between fuel use and health impacts are recognized in the Johannesburg Plan of Implementation. The chapter “Health and Sustainable Development” advocates reducing respiratory diseases and other harmful impacts of air pollution by “supporting efforts for the reduction of emissions through the use of cleaner fuels” and “assisting developing countries in providing affordable energy to rural communities, particularly to reduce dependence on traditional fuel sources for cooking and heating.”

The documents featured below underscore some of the important correlations between energy use and health effects.

Energy and Health (MDG 4 and 5)   



Joint WHO/UNDP Statement on Indoor Air Pollution (2004)

UNDP and the WHO mark World Rural Women’s Day by drawing attention to indoor air pollution. Caused by solid fuel use, it is a major cause of death and disease in poor countries. Cleaner energy alternatives can reduce the problem.

Affecting Electricity Policy through a Community Micro Hydro Project, Kenya (2003)

Summary of lessons learned from a community project in Kenya. This project sought to remove the policy, technical and institutional barriers that limited the development and use of renewable energy sources to meet the energy needs of the poor, off-grid communities.

Biogas in Peri-Urban Areas, Mali (2003)

This project brief describes lessons learned form a project in Mali. The pilot project installed domestic biogas units in peri-urban zones of the city of Bamako. Wider use of biogas units would help reduce the demand for firewood in peri-urban areas and would supply higher-quality fertilizer for local farms.

Solar-Powered Water Desalination, Mauritius (2003)

Summary of lessons learned from a project in Mauritius. This project developed locally-constructed solar water desalination units and installed them in the remote community of Cite Patate, providing households with improved access to drinking water.

Fuel-Efficient Smokeless Stoves, Pakistan (2003)

Lessons learned from a project in Pakistan that spread the use of smokeless stoves among women in order to reduce their dependence upon fire-wood and improve health and general living conditions.

Improving Energy Efficiency through Building Materials, Pakistan (2003)

Lessons learned from a project in Pakistan. By installing demonstration models and training local entrepreneurs to produce these products, the project seeks to initiate wide replication of these products in a self-sustaining manner.

Improving Small Scale Brick Kiln Efficiency, Vietnam (2003)

Project case study highlighting lessons learned; this project raised awareness among local brick makers about efficient kiln technology, and educated local authorities on effects of local pollution.

Energy, the Environment, and Health (2000)
Editors: John P. Holdren and Kirk R. Smith

In this chapter of the World Energy Assessment, the principal environmental and health impacts of energy are discussed according to the scale at which they occur; household, workplace, community, regional and global.

Energy After Rio: Prospects and Challenges (1997)
Editors: Amulya K. N. Reddy, Robert H. Williams and Thomas B. Johansson

Section 2.2 of this publication explores the energy-health nexus arising from improper control of energy production and consumption leading to adverse impacts on the environment, and ultimately on human health.

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