[Stoves] Nepali deaths from cooking fire smoke

[Nikhil Desai]

Crispin:

Premature death is rhetorical nonsense. 

Like post-mature death. 

Mine will be the latter. 

Nikhil 




> On Apr 28, 2017, at 9:18 PM, Crispin Pemberton-Pigott <crispinpigott at outlook.com> wrote:
> 
> Dear Friends 
> 
> The GACC newsletter has an article that starts thus:
> 
> A new clean cooking program is working to improve public health in Nepal, where household air pollution accounts for over 18,000 deaths each year. 
> 
> ‎Do they mean premature deaths?
> 
> Household air pollution includes quite a lot of contributing factors. Are these deaths accompanied by a death certificate saying 'air pollution' as a cause? A contributing cause?
> 
> From what we have learned on this list it seems unlikely 18,000 people are killed each year by indoor air pollution in Nepal. I am not saying it could be true, it just seems really unlikely that this is a fact. 
> 
> I have been reviewing the results of the health study that paralleled the Kyrgyzstan Stove Pilot this past winter. There are two sets of dramatic changes: the reduction in symptoms related to inhalation of smoke and CO, and this related to a higher indoor temperature. 
> 
> Looking through the list, the medical issues or hints of them related to temperature are very noticeable: runny nose and bronchitis are two that are related to chronic under-heating. What we see is that with a five degree higher indoor temperature these symptoms of 'cold' pretty much disappear. 
> 
> Nepal is largely very cold in winter. 'Deaths' ‎premature or otherwise are surely far more commonly attributable to chronic under-heating, compared with IAQ, not so?
> 
> I think there is much to glean from the Fresh Air study in Kyrgyzstan as most confounding factors are not present. 
> 
> Regards 
> Crispin
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