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<p>Hello Crispin,</p>
<p>It seems indeed that we are able to understand and measure quite
well exposure, but to measure impact on health is the huge next
step.<br>
</p>
<p>So my take would be that you would not venture into designing a
study on health impact, but would for now focus on exposure?
Understanding exposure and its sources might help us understand
health impact?<br>
</p>
<p><br>
</p>
<p>Frank,</p>
<p>I really like your idea of monitoring health of people living in
villages in normal conditions, and then of a group who keeps
living in the same village, and another group living in modern
house far from sources of pollution.</p>
<p>Only the exposure settings should change, not their habits, like
the food they eat, or the water they drink.</p>
<p>Then it would be difficult to have a group of villagers living
far away from their village, socially isolated, during the whole
course of the study, which might necessit months and months.</p>
<p>Unless you take 2 similar villages and fully transform one:
modern houses only, all stoves but electric plates are banished.<br>
</p>
<p><br>
</p>
<p>Paul,</p>
<pre wrap=""><i>Yes, with stacking I mean that people still use the old stove along side the new one even if two stoves are provided. There are multiple reasons for doing so and they will go away quickly.
</i></pre>
That's the first question that came to my mind when I read about the
study, I asked the question in my first post. From the article, it
seems the researchers were more or less able to measure stove
stacking.<br>
<br>
So the conclusion of the study would be: "Philips improved
cookstoves, because of their particular design (but other improved
cookstoves have the same issue), are expected to be used only for
some meals, and we have assessed that this use has little effect on
pneumonia."<br>
<br>
Now it'd be great to know if these same Philips stoves, when in use
all the time, have an effect on pneumonia and other diseases.<br>
Also improved stoves with different design, maybe more adapted to
cooking habits in Malawi, are used more, and then what is their
effect on pneumonia and other diseases.<br>
And then, have the households use Philips or other ICS all the time,
no stove stacking, and see what is the impact on pneumonia and other
diseases.<br>
<br>
After all these studies (like in 15 years from now), probably the
conclusion of the researchers will be:<br>
"the authors recommend that the design of the stoves be modified so
their adoption rate can be increased, and their emissions reduced."<br>
To this I will answer:<br>
"Thank you. We recommend that some funding be spent on stove R&D
instead of studies, so we can implement the recommendations."<br>
<br>
Best,<br>
<br>
Xavier<br>
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