Awareness and Attitude to Social and Health Hazards from Portable Power Generator in Commercial Areas of Karachi, Pakistan

World Health Organization ranked third position to noise pollution after water and air pollution. Noise pollution problem is becoming a universal issue in developing countries and an important factor for public health problems [1]. Presently in our country, one of the main causes of noise pollution is portable power generators. The Severe shortage of electricity in Karachi city has directed to indiscriminate, unregulated, and prolong use of portable electric power generators for electricity by her citizens. A portable power generator is a gasoline, petrol or diesel-powered device that is used as an alternative temporary arrangement of electrical power supply up to certain voltage [2]. Portable power generators are used very commonly in shops, offices and homes as an alternative source of power supply during power shutdowns period [3,4]. These generators emit very high levels of noise, in addition to noxious air pollutant emissions.


SBB.MS.ID.000574. 3(5).2019
The questionnaire assessed a cross-section of different age groups, educational levels/literacy level and occupation of respondents. The general population who had participated in this study included small business shops keepers, office workers, loaders and push carters above 16 years of age in all the selected areas and categories. A semi-structured questionnaire was used to gain information on the perception and knowledge from the participants regarding the Health hazards of noise. The questionnaire was divided into three sections. First section asked some general questions, such as age, occupation and educational status. The following section incorporated the questions on the status of Knowledge/Information about hazardous effects and the last section of the questionnaire, asked the questions to examine the risk/hazards with the exposure of generator noise on human health.

Results
( Figure 1) presented the percentage of the respondents according to the age limit. It reveals that majority 267(86.1%) of the respondents were aged above 20 years. Of these a large number (54.5%) belongs to 30-50 years age, while 43(14%) were below 20 years of age group.  ( Figure 2) presented the percentage of the respondents according to the level of education, 19% of the respondents have no education, whereas 30% of the respondents were educated up to secondary school certificate (level 10) and from the remaining 51% respondents, 32% were educated up to higher secondary school certificate (level 12) and 19% were having graduate and above level education. were well informed about the fact that noise can cause impaired hearing, a large percentage 180(58%) indicated that portable power generator is major source of indoor noise pollution. Less than half of the respondents 94(30%) believed that noise from the use of portable generator can bring about conflict among neighbors, 102(33%) assumed that dispensing fuel into the portable power generator could pose any danger to human and environment. Surprisingly less than 50% of the participants 132(42%) agreeing to the fact that exposure to noise from power generator can cause sleeplessness. Majority of the respondents 223(72%) agreed that use of hearing protection device can protect oneself from hearing impairment. ( Figure 4) presented the percentage of respondents according to the awareness/knowledge about health risk with the use of Portable Power Generators. A large percentage of participants 212(68%) respond that by the indoor use of portable electric generators they feel hearing disability (specially in adults), whereas half of the respondents 162(52.3%) indicated that indoor use of portable generator shows behavioral effect specially in female as they spent most of the time in the indoor environment for housekeeping. Similarly, about half respondents 146(47%) also complain about performance effects due to noise intensity in the indoor and outdoor environment. Less than half of the respondents 132(42%) believed that noise producing from portable generator in house, shops and at workplace causing hypertension problem. Similarly, very low percentage of the respondents 106(34%) showing some mental disorder similarly 91(29%) complained about cardiac effects due to regular use of power generator in the indoor environment during electricity shut down period.

Discussion
Present study was conducted at 04 locations in commercial areas of Karachi. A semi-structured questionnaire was used to gain information on the perception and knowledge from the participants regarding the hazardous effects associated with power generator noise. The age of Participants in this study from all the selected locations ranged from 16 to 59 years. Majority (82%) were above 20 years while (14%) were below 20 years of age ( Figure1  & 2). Knowledge and awareness about Health Hazards presented in (Figure 3 & 4) respectively. High level of Knowledge and awareness (67%) was noticed among the users of portable power generators about health hazards (58%) participants respond that presently one of the major sources of noise pollution is power generators, using 03 times daily for two hours during load shedding period. According to the recent researches on noise pollution hazards majority of the respondents agreed to the fact that noise pollution is a source of hearing impairment [9]. Result regarding the use of hearing protection devices such ear plug and earmuffs in order to protect from hearing loss is not surprising because some of them were already using cloths and scarf to protect their ears from noise pollution hazards.
The efficiency of hearing protection devices in preventing the noise induced hearing loss is mainly depend on the correct choice, use and properly wearing these protection devices [10]. Results of a study that was conducted in a steel rolling mill in Nigeria, shows that less than half of the workers were properly using Hearing Protection Devices (HPDs), due to the lack of awareness and information regarding the noise induced health hazards [11]. Sleep disturbance is one of the serious problems due to noise pollution. Result of this study regarding the sleep disturbance due to power generator noise is surprising, as less than half of the respondents were agreed that generators noise could cause sleep disturbance. One of the reasons might that due to hard working in day/nighttime the noise of generator is uncountable factor than the sleep, in the view of respondent noise is bearable than the hotness of summer season.

SBB.MS.ID.000574. 3(5).2019
According to the World Health Organization (WHO) guideline noise level for a good sleep is 30dB(A), while noise levels exceeding 45dB(A) should be avoided [12]. Regarding the question about conflict among neighbors, less than half of the respondents were agreed to this fact. According to the National Environment Quality Standards (NEQS), the limit for noise in residential areas was set at 55 decibels during the day and 45dB during the night., Whereas, diesel generators generate 88dB of noise, while generators running on petrol or gas can go above 95dB (Published in The Express Tribune, May 22 nd , 2011),

Conclusion
The present study shows that commercial areas of Karachi are highly exposed to noise pollution. Due to shortage of electricity and erratic shutdown of power supply, inhabitants are immense to use portable power generators in homes, offices and their workplace during shutdown period that are producing noise pollution and serious health hazard. Results show that most of the respondents had high level knowledge about the harmful effects of noise at workplace and home. Main finding of this study is that majority of the respondents revealed that noise induce hearing loose (NIHL) had low priority than other health hazards such as cancer, cardiovascular disease, pulmonary problems, chemical burn and other issues in the life.
There is a need of eco-city planning and of arranging awareness program on noise pollution hazards to train the workers about harmful effects of noise pollution on hearing disability, stating the level at which noise is considered dangerous. Necessary preventive measures must also be taken by the government and appropriate authority to implement the noise pollution (Regulation and Control) Rules.