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</o:shapelayout></xml><![endif]--></head><body lang=EN-US link=blue vlink=purple><div class=WordSection1><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>It's surprising to me that there is no calculation of overall stove safety in these studies of health benefits. Reducing emissions is important, but preventing burns and fires is also critically important to stove use and performance. <o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>I wonder if there is a way to adjust our metrics to account for some of the 'basics': building stoves with safety features; preventing skirt fires; preventing scalding and severe burns to arms and legs and fingers and toes (and faces). Disfigurement may be fatal in some areas, but even when it's not it's bound to have non-trivial life-long impacts. <o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Erin Rasmussen<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>erin@trmiles.com <o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><div><div style='border:none;border-top:solid #B5C4DF 1.0pt;padding:3.0pt 0in 0in 0in'><p class=MsoNormal><b><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif"'>From:</span></b><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif"'> Stoves [mailto:stoves-bounces@lists.bioenergylists.org] <b>On Behalf Of </b>Sumi Mehta<br><b>Sent:</b> Thursday, September 04, 2014 8:15 AM<br><b>To:</b> stoves@lists.bioenergylists.org<br><b>Cc:</b> Radha Muthiah; Ajay Pillarisetti; Ranyee Chiang; Kirk R. Smith<br><b>Subject:</b> [Stoves] FW: health impact?<o:p></o:p></span></p></div></div><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal>Thanks, Marc-Antoine, for your keen interest in ensuring the health benefits of adopting clean cooking technologies. As you can imagine, this is of very high priority here at the Alliance. Our aim is to ensure the promotion of cleaner cooking technologies, i.e. the cleanest possible technologies accessible and available for different customer segments. In addition, since the long term goal is universal adoption of truly ‘clean’ cooking, we are committed and working with partners to ensure that the cleanest possible technologies are developed for all fuels currently in use. <br>We are also committed to ensuring that people can shift to cleaner and cleaner technologies and fuels, by working with a wide range of our partners to facilitate increased access and affordability. <br> <br>As you are aware, there is even a wide variability of performance associated with the range of rocket stoves available. Indeed, HAPIT offers different performance scenarios to reflect the range of options in the market (as well as aspirational performance), and the Alliance’s work will strive to cover the range of options available. In any case, I will leave it to Kirk and his team to reply about the HAPIT-specific questions in more detail.... <br> <br><span style='color:#1F497D'>Regards,<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Sumi<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:10.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Sumi Mehta, MPH, PhD<br>Director of Research and Evaluation<br>1750 Pennsylvania Avenue, NW, Suite 300<br>Washington DC 20006<br>tel: +1 202-787-5642 <br></span><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><a href="mailto:smehta@cleancookstoves.org"><span style='font-size:10.0pt;color:#0563C1'>smehta@cleancookstoves.org</span></a><br><a href="http://www.cleancookstoves.org/" target="_blank"><span style='font-size:10.0pt;color:#0563C1'>www.cleancookstoves.org</span></a><o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><blockquote style='margin-top:5.0pt;margin-bottom:5.0pt'><p class=MsoNormal style='margin-left:.5in'>From: Marc-Antoine Pare <<a href="mailto:marcpare0@gmail.com">marcpare0@gmail.com</a>><o:p></o:p></p><p class=MsoNormal style='margin-left:.5in'>Date: September 3, 2014, 2:57:50 AM EDT<o:p></o:p></p><p class=MsoNormal style='margin-left:.5in'>To: Discussion of biomass cooking stoves <<a href="mailto:stoves@lists.bioenergylists.org"> stoves@lists.bioenergylists.org</a>><o:p></o:p></p><p class=MsoNormal style='margin-left:.5in'>Subject: [Stoves] health impact?<o:p></o:p></p><p class=MsoNormal style='mso-margin-top-alt:0in;margin-right:0in;margin-bottom:12.0pt;margin-left:.5in'>Reply-To: Discussion of biomass cooking stoves <<a href="mailto:stoves@lists.bioenergylists.org"> stoves@lists.bioenergylists.org</a>><o:p></o:p></p><p class=MsoNormal style='margin-left:.5in'>Hi everyone,<o:p></o:p></p><p class=MsoNormal style='margin-left:.5in'> <o:p></o:p></p><p class=MsoNormal style='margin-left:.5in'>A big confession: having tinkered with stoves for years, I never actually looked into the numbers of stove health impacts. I'm trying to fix that, and I hope you can help!<o:p></o:p></p><p class=MsoNormal style='margin-left:.5in'> <o:p></o:p></p><p class=MsoNormal style='margin-left:.5in'>I mean, yes, I can wave my hands about PM and CO and four million deaths!<o:p></o:p></p><p class=MsoNormal style='margin-left:.5in'> <o:p></o:p></p><p class=MsoNormal style='margin-left:.5in'>But how many deaths (or DALYs) do you avert per stove? Or per 10,000 stoves? Or per 100,000,000?<o:p></o:p></p><p class=MsoNormal style='margin-left:.5in'> <o:p></o:p></p><p class=MsoNormal style='margin-left:.5in'>I thought it would be an easy question to answer, but it's turning out to be quite tricky to even ballpark.<o:p></o:p></p><p class=MsoNormal style='margin-left:.5in'> <o:p></o:p></p><p class=MsoNormal style='margin-left:.5in'>Here is one interesting source. This is from the very recent webinar on Kirk Smith's HAPIT tool. <o:p></o:p></p><p class=MsoNormal style='margin-left:.5in'> <o:p></o:p></p><p class=MsoNormal style='margin-left:.5in'><a href="http://www.cleancookstoves.org/resources_files/hapit-results-rwanda.pdf">http://www.cleancookstoves.org/resources_files/hapit-results-rwanda.pdf</a> <o:p></o:p></p><p class=MsoNormal style='margin-left:.5in'> <o:p></o:p></p><p class=MsoNormal style='margin-left:.5in'>This report considers 25,000 households.<o:p></o:p></p><p class=MsoNormal style='margin-left:.5in'>If you provide all of those households a rocket stove, you save only 0.75 lives per year.<o:p></o:p></p><p class=MsoNormal style='margin-left:.5in'> <o:p></o:p></p><p class=MsoNormal style='margin-left:.5in'>If you take the GACC's target 100,000,000 households, that would mean<o:p></o:p></p><p class=MsoNormal style='margin-left:.5in'> <o:p></o:p></p><p class=MsoNormal style='margin-left:.5in'>0.75/25000*100000000 = 3,000 lives saved worldwide annually.<o:p></o:p></p><p class=MsoNormal style='margin-left:.5in'> <o:p></o:p></p><p class=MsoNormal style='margin-left:.5in'>What am I missing there? This seems so small.<o:p></o:p></p><p class=MsoNormal style='margin-left:.5in'> <o:p></o:p></p><p class=MsoNormal style='margin-left:.5in'>Some speculation:<o:p></o:p></p><p class=MsoNormal style='margin-left:.5in'> <o:p></o:p></p><p class=MsoNormal style='margin-left:.5in'>Kirk Smith mentions in the HAPIT webinar that even a small amount of PM2.5 is still harmful. Perhaps biomass stoves just don't get the number low enough?<o:p></o:p></p><p class=MsoNormal style='margin-left:.5in'> <o:p></o:p></p><p class=MsoNormal style='margin-left:.5in'>I think this would fit with the chart in the linked PDF that shows that stoves only reduce deaths by <5% for indoor air pollution. A few times in the HAPIT webinar, they mention "a lot of lives are still left on the table."<o:p></o:p></p><p class=MsoNormal style='margin-left:.5in'> <o:p></o:p></p><p class=MsoNormal style='margin-left:.5in'>This also seems to agree with something I found in Christian L'Orange's dissertation:<o:p></o:p></p><p class=MsoNormal style='margin-left:.5in'><a href="http://digitool.library.colostate.edu/exlibris/dtl/d3_1/apache_media/L2V4bGlicmlzL2R0bC9kM18xL2FwYWNoZV9tZWRpYS8yNDYyOTQ=.pdf">http://digitool.library.colostate.edu///exlibris/dtl/d3_1/apache_media/L2V4bGlicmlzL2R0bC9kM18xL2FwYWNoZV9tZWRpYS8yNDYyOTQ=.pdf</a> <o:p></o:p></p><p class=MsoNormal style='margin-left:.5in'> <o:p></o:p></p><p class=MsoNormal style='margin-left:.5in'>Figure 33 shows that Envirofit G3300 stoves only have a 3% (or so) impact on "Adjusted Relative Risk" (of death)<o:p></o:p></p><p class=MsoNormal style='margin-left:.5in'> <o:p></o:p></p><p class=MsoNormal style='margin-left:.5in'> <o:p></o:p></p><p class=MsoNormal style='margin-left:.5in'>Please do not worry about hurting my feelings in correcting these numbers. Am I thinking about this the wrong way around? Have I punched the numbers in incorrectly? <o:p></o:p></p><p class=MsoNormal style='margin-left:.5in'> <o:p></o:p></p><p class=MsoNormal style='margin-left:.5in'>Also, I would be very interested to read more good papers on health impacts for stoves. It is all really quite interesting work. I feel bad that I didn't look at it sooner.<o:p></o:p></p><p class=MsoNormal style='margin-left:.5in'> <o:p></o:p></p><p class=MsoNormal style='mso-margin-top-alt:0in;margin-right:0in;margin-bottom:12.0pt;margin-left:.5in'>Best,<o:p></o:p></p><p class=MsoNormal style='mso-margin-top-alt:0in;margin-right:0in;margin-bottom:12.0pt;margin-left:.5in'>Marc Paré<o:p></o:p></p><p class=MsoNormal style='margin-left:.5in'>_______________________________________________<o:p></o:p></p><p class=MsoNormal style='mso-margin-top-alt:0in;margin-right:0in;margin-bottom:12.0pt;margin-left:.5in'>Stoves mailing list<o:p></o:p></p><p class=MsoNormal style='margin-left:.5in'>to Send a Message to the list, use the email address<o:p></o:p></p><p class=MsoNormal style='mso-margin-top-alt:0in;margin-right:0in;margin-bottom:12.0pt;margin-left:.5in'><a href="mailto:stoves@lists.bioenergylists.org">stoves@lists.bioenergylists.org</a><o:p></o:p></p><p class=MsoNormal style='margin-left:.5in'>to UNSUBSCRIBE or Change your List Settings use the web page<o:p></o:p></p><p class=MsoNormal style='mso-margin-top-alt:0in;margin-right:0in;margin-bottom:12.0pt;margin-left:.5in'><a href="http://lists.bioenergylists.org/mailman/listinfo/stoves_lists.bioenergylists.org">http://lists.bioenergylists.org/mailman/listinfo/stoves_lists.bioenergylists.org</a> <o:p></o:p></p><p class=MsoNormal style='margin-left:.5in'>for more Biomass Cooking Stoves, News and Information see our web site:<o:p></o:p></p><p class=MsoNormal style='margin-left:.5in'><a href="http://stoves.bioenergylists.org/">http://stoves.bioenergylists.org/</a><o:p></o:p></p></blockquote></div></body></html>