As a group, people with central heating also had an increased risk. This was thought to be due to the large number of Irish homes with central heating who also used open fires for secondary heating.
An earlier study in Ireland also linked indoor smoke from open fires to accelerated cognitive decline, and US a study found that heating a home with a wood stove or fireplace increased the risk of lung cancer by 43%.
There is clearly an urgent need for better data, and for actions to reduce exposure to wood and coal pollution in rural communities across Europe.
Tessa Bartholomew-Good, from the charity Global Action Plan, said: “Public awareness of the harms of domestic burning is still too low. The first step should be to highlight these harms to consumers. For example, introducing health warning labels for both stoves and solid fuels like wood, coal and alternative fuel, similar to the ways used to land the public health harms of smoking.”