The Household Air Pollution Intervention Network trial is a multi-country study on the effects of a liquefied petroleum gas (LPG) stove and fuel distribution intervention on women's and children's health. There is limited data on exposure reductions achieved by switching from solid to clean cooking fuels in rural settings across multiple countries. As formative research in 2017, we recruited pregnant women and characterized the impact of the intervention on personal exposures and kitchen levels of fine particulate matter (PM₂.₅) in Guatemala, India, and Rwanda. Forty pregnant women were enrolled in each site. We measured cooking area concentrations of and personal exposures to PM₂.₅ for 24 or 48 h using gravimetric-based PM₂.₅ samplers at baseline and two follow-ups over two months after delivery of an LPG cookstove and free fuel supply. Mixed models were used to estimate PM₂.₅ reductions. Median kitchen PM₂.₅ concentrations were 296 μg/m³ at baseline (interquartile range, IQR: 158–507), 24 μg/m³ at first follow-up (IQR: 18–37), and 23 μg/m³ at second follow-up (IQR: 14–37). Median personal exposures to PM₂.₅ were 134 μg/m³ at baseline (IQR: 71–224), 35 μg/m³ at first follow-up (IQR: 23–51), and 32 μg/m³ at second follow-up (IQR: 23–47). Overall, the LPG intervention was associated with a 92% (95% confidence interval (CI): 90–94%) reduction in kitchen PM₂.₅ concentrations and a 74% (95% CI: 70–79%) reduction in personal PM₂.₅ exposures. Results were similar for each site. The intervention was associated with substantial reductions in kitchen and personal PM₂.₅ overall and in all sites. Results suggest LPG interventions in these rural settings may lower exposures to the WHO annual interim target-1 of 35 μg/m³. The range of exposure contrasts falls on steep sections of estimated exposure-response curves for birthweight, blood pressure, and acute lower respiratory infections, implying potentially important health benefits when transitioning from solid fuels to LPG.

In this paper, preliminary investigation was conducted to evaluate the potential ecological risk of heavy metals contamination in cemetery soils. Necrosol samples were collected from within and around the vicinity of the largest mass grave in Rwanda and analyzed for heavy metal concentrations using total digestion–inductively coupled plasma mass spectrometry and instrumental neutron activation analysis. Based on the concentrations of As, Cu, Cr, Pb, and Zn, the overall contamination degree (C dₑg) and potential ecological risks status (RI) of the necrosols were determined. The preliminary results revealed that the associated cemetery soils are only contaminated to a low degree. On the other hand, assessment of the potential ecological risk index (RI) revealed that cumulative heavy metal content of the soil do not pose any significant ecological risks. These findings, therefore, suggest that, while cemetery soils may be toxic due to the accumulation of certain heavy metals, their overall ecological risks may be minimal and insignificant.

The Nyabugogo natural wetland (Kigali City, Rwanda) receives all kinds of untreated wastewaters, including those from industrial areas. This study monitored heavy metal concentrations (Cd, Cr, Cu, Pb, and Zn) in all environmental compartments of the swamp: water and sediment, the dominant plant species Cyperus papyrus, and fish (Clarias sp. and Oreochromis sp.) and Oligochaetes. Cr, Cu, and Zn concentrations in the water were generally below the WHO (2008) drinking water standards, whereas Cd and Pb were consistently above these limits. Except Cd, all metal concentrations were below the threshold levels for irrigation. The highest metal accumulation occurred in the sediment with up to 4.2 mg/kg for Cd, 68 mg/kg for Cu, 58.3 mg/kg for Pb, and 188.0 mg/kg for Zn, followed by accumulation in the roots of C. papyrus with up to 4.2 mg/kg for Cd, 45.8 mg/kg for Cr, 29.7 mg/kg for Cu, and 56.1 mg/kg for Pb. Except Cu and Zn, other heavy metal (Cd, Cr, and Pb) concentrations were high in Clarias sp., Oreochromis sp., and Oligochaetes. Therefore, there is a human health concern for people using water and products from the swamp.

Volcanic rock is a potential adsorbent for metallic ions from wastewater. This study determined the capacity of Gisenyi volcanic rock found in Northern Rwanda to adsorb Cd, Cu, Pb and Zn using laboratory scale batch experiments under a variety of experimental conditions (initial metal concentration varied from 1 to 50 mg/L, adsorbent dosage 4 g/L, solid/liquid ratio of 1:250, contact time 120 h, particle size 250–900 μm). The adsorbent had a surface area of 3 m2/g. The adsorption process was optimal at near-neutral pH 6. The maximal adsorption capacity was 6.23, 10.87, 9.52 and 4.46 mg/g for Cd, Cu, Pb and Zn, respectively. The adsorption process proceeded via a fast initial metal uptake during the first 6 h, followed by slow uptake and equilibrium after 24 h. Data fitted well the pseudo second-order kinetic model. Equilibrium experiments showed that the adsorbent has a high affinity for Cu and Pb followed by Cd and Zn. Furthermore, the rock is a stable sorbent that can be reused in multiple sorption–desorption–regeneration cycles. Therefore, the Gisenyi volcanic rock was found to be a promising adsorbent for heavy metal removal from industrial wastewater contaminated with heavy metals.

Around 3 billion people worldwide use solid biomass fuels for cooking. Exposure to indoor biomass smoke is an important cause of COPD and therefore a target of many public health interventions, such as usage of improved cookstoves. The aim of our study was to show whether usage of improved cookstoves can lead to relevant improvement in lung function and CAT-score in a well characterized population including a subgroup of this population with preexisting airway obstruction. Interviews and spirometry were performed in Congolese women living in an UNHCR (United Nations High Commissioner for Refugees) refugee camp in Rwanda before (baseline, BL) and 9 months after (follow-up, F9) they received an energy-efficient cookstove (Save80) and were trained how to use it. Two hundred sixty-two women completed both spirometry and interview appropriately at BL and F9 and were included in per protocol (pp) analysis, which showed no change in mean FEV1. The predefined subgroup of this population with airway obstruction at baseline (N = 31) showed a significant FEV1 increase (FEV1F₉ = 1.70 L; p < 0.01 vs FEV1BL = 1.58 L, p < 0.01). Median CAT-scores were significantly lower in the F9 assessment. Our data indicate that usage of improved cookstoves has a positive impact on respiratory health especially in individuals with preexisting airway obstruction. Further studies to investigate long-term outcome are warranted.

Due to the pressure on limited resources produced by a growing population and due to a decade of war, Rwanda is facing a major problem in environmental protection. Because of such problems, it seems only reasonable that environment-related courses should play an important role in the curricula of institutions of higher learning. The main aim of this research is to present a comprehensive picture of Environmental Impact Assessment (EIA) integration in graduate and undergraduate programs in Rwandese higher education institutions and to make recommendations for its improvement. During this study, two surveys were conducted: the first survey targeted Environmental Impact Assessment lecturers and the second survey was for Environmental Impact Assessment practitioners (including EIA certified experts and competent authorities). The study found that Environmental Impact Assessment is not well established in these institutions and it is not taught in some programs; civil engineering, for example, has no Environmental Impact Assessment courses. Recommendations to improve EIA education are proposed, such as requiring that a common core course in Environmental Impact Assessment be made available in Rwandese higher learning institutions.