{"id":10583,"date":"2015-03-13T17:20:55","date_gmt":"2015-03-13T22:20:55","guid":{"rendered":"http:\/\/news.medill.northwestern.edu\/chicago\/?p=10583"},"modified":"2015-03-16T17:16:02","modified_gmt":"2015-03-16T22:16:02","slug":"in-nicaragua-improving-respiratory-health-starts-at-the-hearth","status":"publish","type":"post","link":"https:\/\/news.medill.northwestern.edu\/chicago\/in-nicaragua-improving-respiratory-health-starts-at-the-hearth\/","title":{"rendered":"In Nicaragua, improving respiratory health starts at the hearth"},"content":{"rendered":"<p>By Bryce Gray<\/p>\n<p>Inside Felipa Del Carmen\u2019s tin-roof, dirt-floor home in Nicaragua, piles of wood stand at the ready to keep an indoor fire burning. The mother of six says that a number of her children have battled pneumonia that required treatment at Cl\u00ednica Verde, a nearby non-profit clinic.<\/p>\n<figure id=\"attachment_10644\" aria-describedby=\"caption-attachment-10644\" style=\"width: 2592px\" class=\"wp-caption alignnone\"><img fetchpriority=\"high\" decoding=\"async\" class=\"wp-image-10644 size-full\" src=\"http:\/\/news.medill.northwestern.edu\/chicago\/wp-content\/uploads\/sites\/3\/2015\/03\/IMG_0289.jpg\" alt=\"IMG_0289\" width=\"2592\" height=\"1936\" srcset=\"https:\/\/news.medill.northwestern.edu\/chicago\/wp-content\/uploads\/sites\/3\/2015\/03\/IMG_0289.jpg 2592w, https:\/\/news.medill.northwestern.edu\/chicago\/wp-content\/uploads\/sites\/3\/2015\/03\/IMG_0289-300x224.jpg 300w, https:\/\/news.medill.northwestern.edu\/chicago\/wp-content\/uploads\/sites\/3\/2015\/03\/IMG_0289-1024x765.jpg 1024w\" sizes=\"(max-width: 2592px) 100vw, 2592px\" \/><figcaption id=\"caption-attachment-10644\" class=\"wp-caption-text\">A traditional indoor cook fire fills the home of Felipa Del Carmen with smoke. (Bryce Gray\/Medill)<\/figcaption><\/figure>\n<p><!--more-->Del Carmen\u2019s children are not alone, as the toll of close and virtually constant contact with smoke is inescapable for most families in the country. Respiratory ailments are common, especially among women and young children who, according to the World Health Organization, \u201c<a href=\"http:\/\/www.who.int\/mediacentre\/factsheets\/fs292\/en\/\" target=\"_blank\">spend the most time near the domestic hearth<\/a>.\u201d<\/p>\n<p>Step off of the plane in Nicaragua and the first thing you notice is the smell of smoke.<\/p>\n<p>As in many countries throughout the developing world, <em>le\u00f1a<\/em> \u2013 the Spanish word for firewood \u2013 remains the dominant fuel source for cooking.<\/p>\n<p>Smoke-induced pneumonia, lung cancer, bronchitis, asthma and other respiratory illnesses cause an estimated 4 million deaths worldwide every year. In response, <a href=\"http:\/\/carbonfinanceforcookstoves.org\/tools\/projects\/\" target=\"_blank\">scores of projects<\/a> have been launched by public health crusaders aiming to make home cook stoves cleaner and safer in developing countries, including Nicaragua.<\/p>\n<p>\u201cIf you go into the areas where they\u2019re cooking, it\u2019s usually a semi-enclosed space,\u201d said Brian Davis, 71, a retired engineering professor from Oregon who has split much of the last decade between homes in the United States and Nicaragua. \u201cIf you look at the walls, the walls are covered in black tar. Their lungs basically are getting the same treatment.\u201d<\/p>\n<p>Exposure to those unhealthy conditions inspired Davis and his wife, Nancy \u2013 also a retired college administrator \u2013 to develop and market their own clean stove model, known as the <a href=\"http:\/\/www.nicaragua-community.com\/coci-nica-better-christmas-canasta\/\" target=\"_blank\">Coci-Nica<\/a>. The squat, cylindrical brick stoves burn wood more efficiently than traditional cook fires while still cooking food in the same amount of time. Davis said more than 5,000 units had been sold in Nicaragua since its development five years ago, with more than 2,000 of those sales occurring in 2014.<\/p>\n<p>Although competition in the emerging cook stove industry is heating up, Davis believes that affordability is paramount in a country where 80 percent of the population lives on $2 a day, and has tried to shape Coci-Nica\u2019s business model accordingly, selling units for $10 to $12 apiece.<\/p>\n<p>\u201cWe didn\u2019t realize that we really needed to produce the stoves locally, with local materials and labor, in order to get the cost down to something that people can actually buy,\u201d said Davis, explaining the rationale for the establishment of Coci-Nica\u2019s Nicaraguan-based factory.<\/p>\n<p>Besides local production, the Coci-Nica\u2019s simple design also helps lower the price tag. Davis acknowledges that there are shortcomings associated with the product\u2019s simplicity, but argues that affordability is the ultimate determinant of success.<\/p>\n<figure id=\"attachment_10646\" aria-describedby=\"caption-attachment-10646\" style=\"width: 2592px\" class=\"wp-caption alignnone\"><img decoding=\"async\" class=\"wp-image-10646 size-full\" src=\"http:\/\/news.medill.northwestern.edu\/chicago\/wp-content\/uploads\/sites\/3\/2015\/03\/IMG_20141213_110830750_HDR.jpg\" alt=\"IMG_20141213_110830750_HDR\" width=\"2592\" height=\"1944\" srcset=\"https:\/\/news.medill.northwestern.edu\/chicago\/wp-content\/uploads\/sites\/3\/2015\/03\/IMG_20141213_110830750_HDR.jpg 2592w, https:\/\/news.medill.northwestern.edu\/chicago\/wp-content\/uploads\/sites\/3\/2015\/03\/IMG_20141213_110830750_HDR-300x225.jpg 300w, https:\/\/news.medill.northwestern.edu\/chicago\/wp-content\/uploads\/sites\/3\/2015\/03\/IMG_20141213_110830750_HDR-1024x768.jpg 1024w\" sizes=\"(max-width: 2592px) 100vw, 2592px\" \/><figcaption id=\"caption-attachment-10646\" class=\"wp-caption-text\">Rosa Arcia cooks on a Coci-Nica stove in the community of Las Comarcas de La Laguna de Apoyo, where the clean stove company has a factory. (Photo courtesy of Brian Davis)<\/figcaption><\/figure>\n<p>\u201cOur stove does not have a chimney,\u201d Davis said, emphasizing that the product reduces wood usage \u2013 and subsequently smoke levels \u2013 by concentrating air to allow for more complete combustion. \u201cIf it did have a chimney it would be a better stove, but it would also cost two to three times as much. So, part of our philosophy is that it\u2019s better to solve 80 percent of the problem realistically than 100 percent in a way that actually nobody can buy.\u201d<\/p>\n<p>Davis said that the majority of Coci-Nica stoves have been distributed in the vicinity of their factory near Granada, where the Davises also run a non-profit clinic called Cl\u00ednica Apoyo. Other clinics and NGOs have helped Coci-Nica gain further traction by selling the product to affected communities elsewhere in Nicaragua.<\/p>\n<p>One eager distributor has been Cl\u00ednica Verde \u2013\u00a0the health clinic that treated Del Carmen\u2019s children \u2013\u00a0located\u00a0more than \u00a0a two-hour drive from the Coci-Nica factory. Still, Cl\u00ednica Verde\u00a0has distributed 50 of the stoves to its patients.<\/p>\n<p>\u201cIn 2014, we saw 1,132 patients for respiratory ailments and asthma,\u201d said Cl\u00ednica Verde\u00a0medical coordinator Betsy Dankenbring. \u201cThat number represents about 11 percent of our patient population.\u201d<\/p>\n<p>Dankenbring said that the stoves have generated a positive response from area families, noting that, \u201cthe price is justifiable by improved health and by using less wood.\u201d<\/p>\n<p>In addition to economic hurdles, Davis says there is a cultural \u201cacceptance curve\u201d with which the stove also needs to contend. For example, some Nicaraguans balk at the novelty of clean stoves.<\/p>\n<p>\u201cEven though they\u2019re still cooking with wood, it\u2019s not the way they\u2019ve traditionally cooked,\u201d said Davis.<\/p>\n<p>For others, cooking with wood is a matter of preference even when cleaner, more efficient alternatives are available.<\/p>\n<p>\u201cEven people that are fairly well off and have gas stoves will cook their beans with wood,\u201d said Davis.<\/p>\n<p>Despite the obstacles, Coci-Nica is exploring ways to expand production, perhaps by opening franchises and other factories around the country \u2013 an investment that figures to be a recipe for improved health for Nicaraguans.<\/p>\n<div id=\"featurecaption\">Workers constructing clean stoves at the Cosi-Nica production plant in Nicaragua. Photo courtesy of Brian Davis, who created the clay stoves that sell for $12 and significantly reduces the indoor smoke of wood-burning stoves. Indoor smoke causes pneumonia, asthma and other respiratory illnesses among thousands of women and children in Nicaragua.<\/div>\n","protected":false},"excerpt":{"rendered":"<p>By Bryce Gray Inside Felipa Del Carmen\u2019s tin-roof, dirt-floor home in Nicaragua, piles of wood stand at the ready to keep an indoor fire burning. The mother of six says that a number of her children have battled pneumonia that required treatment at Cl\u00ednica Verde, a nearby non-profit clinic.<\/p>\n","protected":false},"author":63,"featured_media":10645,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[27,28,29,30,243],"tags":[401,400,192],"class_list":["post-10583","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-business","category-general-interest","category-health-and-science","category-public-affairs","category-winter-2015","tag-clean-stoves","tag-nicaragua","tag-promo"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>In Nicaragua, improving respiratory health starts at the hearth - Medill Reports Chicago<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/news.medill.northwestern.edu\/chicago\/in-nicaragua-improving-respiratory-health-starts-at-the-hearth\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"In Nicaragua, improving respiratory health starts at the hearth - Medill Reports Chicago\" \/>\n<meta property=\"og:description\" content=\"By Bryce Gray Inside Felipa Del Carmen\u2019s tin-roof, dirt-floor home in Nicaragua, piles of wood stand at the ready to keep an indoor fire burning. 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