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    13th

    WorldCongress on

    Public Health

    Addis Ababa

    Ethiopia

    April 27 th 2012

    GAIA ASSOCIATION

    INDOOR AIR POLLUTION IN

    ETHIOPIA

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    Formed in 2005 as an Ethiopian NGO to USA Partner Project Gaia INC

    Aims to raise awareness of the health, safety, and environmentalbenefits of using alcohol fuels for cooking

    Primar y init iatives include providing ethanol fuel to refugees inKebribeyah and Awbarre refugee camps in Eastern Ethi opia

    Also works to promote ethanol fuel use in Addis Ababa, thecommercialization of the Clean Cook stove, and local production ofethanol fuel

    GAIA ASSOCIATION

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    CLEAN ENERGY-SAFE ENERGY

    PROGRAM, KEBRIBEYAH REFUGEE

    CAMP, EASTERN ETHIOPIA

    Mother and childin a smokycooking shelter

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    INDOOR AIR POLLUTION TESTING:

    EQUIPMENT & PROTOCOLS USED

    University of California Berkeleys Center For Entrepreneurship inInternational Health and Developme nt (CEIHD) for technicalassistance / data analysis

    Equipment - UCB Particle Monitor (PM)

    - HOBO Logger collects Carbon Monoxide (CO)

    Equipment placed accordi ng to CEIHD protocols

    100 cm, 150cm & 150 cm from the stove, from the door/windowopening and the height from the ground, respectively.

    Collected over 30 Before and After Samples

    IAP samples taken in : Addis Ababa Capital of Ethiopia

    Kebribeyah Refugee Camp Eastern Ethiopia

    Bonga Refugee Camp Western Ethiopia

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    BEFORE AND AFTER TESTS

    Average Of CO Test in 30 Households

    0.0050.00

    100.00150.00200.00250.00300.00

    Time18:0920:0421:5923:541:493:445:397:349:2911:2413:1915:1417:0919:0420:5922:540:492:444:396:348:2910:2412:1914:14Time in 24 hr base for 2 day

    CO(ppm) After CC StoveBefore CC stoveControlled Kitchen With CCWHO standardThe improvement

    achieved for CO was79% while for PM was

    94%.

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    PM AND CO MONITORING RESULT SUMMARY

    Location Kitchen particles PM2.5 Kitchen COBefore

    Level

    Residual

    level %Reduction

    Before

    Level

    Residual

    level %Reduction

    KebribeyahCamp 2.17mg/m3 0.13mg/m3 94% 70.5ppm 14.6ppm 79%Bonga

    Camp 0.96mg/m3 0.15mg/m3 84% 22.1ppm 5.6ppm 75%

    Addis

    Ababa 0.64mg/m3 0.22mg/m3 64% 24.6ppm 5.9ppm 76%

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    KEBRIBEYAH REFUGEE CAMP, WOMEN

    USING THE CLEANCOOK STOVE

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    Questions:

    What is the level of indoor air pollution among women who cook with

    firewood in Shero Meda sub city in Addis Ababa?

    What are the womens perceptions of firewood and other fuels?

    What are the barriers to adopting other fuels?

    EXPLORING LEVELS OF INDOOR AIR

    POLLUTION AMONG WOMEN IN ADDIS ABABA

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    Conducted assessments in 84 households in Shero-Meda

    kebele in Addis Ababa Ethiopia

    Monitored both CO and PM 2.5 measurements from cooking for

    a 24-hour period

    Assessed for household features that would influence cooking

    and pollution

    Also included in-depth interviews and focus groups with

    women in the community

    ADDIS ABABA HOUSEHOLD STUDY

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    All households cooked in a kitchen separate from the main

    house

    Wife of the household was the main cook in 75% of

    households

    Primary fuel used among households was branches, leaves,

    and twigs (92%)

    Almost all households cooked on a traditional 3-stone

    fireplace

    HOUSEHOLD DESCRIPTIONS

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    EXAMPLES OF KITCHENS

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    TYPES OF PRIMARY FUEL

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    KITCHENS

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    MONITORS

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    N Mean Max Value

    PM2.5 (24-houraverage)69 793.38 g/m3 12,737.19 g/m3

    CO (8 hour average) 54 16.08 mg/m3 69.65 mg/m3

    CONCENTRATIONS OF PARTICULATES

    AND CARBON MONOXIDE

    WHO Air Quality Guideline states that the 8 hour average CO less than 10mg/m3

    Only 29 of 54 households upheld the CO standard

    WHO Air Quality Guideline states that ppm should be less than 25ug/m3 in a 24

    hour time period

    All households exceeded the WHO standard

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    Photo by Brady Luceno

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    Statistical analysis conducted with all household variables

    Kitchen size was divided into kitchen smaller than 15m 3 and greater

    or equal to 15m3

    Kitchens that were less than 15m 3 were shown to havesignificantly higher levels of CO than the larger kitchens

    (t=9.05, p=

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    Women interviewed stated that firewood cost around 50 -60

    Birr per load (August 2010)

    Women generally bought 2-3 loads per week from other

    women who gather the firewood from Entoto Mountain

    Women described that they mainly used firewood inside the

    main kitchen for making injera, wat, and roasting barley

    Firewood was said to cook extremely fast

    QUALITATIVE RESULTS: PERCEPTIONS OF

    FIREWOOD

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    Most women also used kerosene and charcoal for various

    cooking to supplement the firewood use

    Charcoal cost about 2-3 Birr per small bundle was usually used

    inside the main house for making coffee and tea

    Kerosene could be purchased at large markets that requireda taxi ride

    Kerosene cost about 9 Birr per liter and was used to cook

    small snacks

    Kerosene was too expensive to cook full meals

    PERCEPTIONS OF KEROSENE AND

    CHARCOAL

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    When the women were asked about the health impacts of

    using firewood, all of them mentioned the d ifficulties of

    cooking with firewood including couching and sting ing eyes

    Women also mentioned that kerosene was a more pleasantfuel to work with but the smell also caused headaches

    HEALTH IMPACTS

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    Women were asked about theirrole in the household and in

    addition to cooking, many women

    also gained income for their

    family

    Several women had small shops

    selling vegetables and other items

    to neighbors

    Women utilized their cooking to

    make a profit by cooking and

    selling injera to neighbors, and

    cooking barley to make a localalcohol

    INCOME GENERATION

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    Due to the neighborhoods close proximity with Entoto

    Mountain firewood was collected by local women from the

    forest and sold to households

    FIREWOOD COLLECTION

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    All the women interviewed were in agreement that they would

    like to switch to a cleaner and healthier fuel if it were made

    available

    The cost of other fuels is incredibly high for those living inlower income areas

    WISH TO SWITCH TO CLEANER AND

    HEALTHIER FUEL

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    Women in low income neighborhoods in Addis Ababa are still

    cooking with firewood daily

    The use of firewood for cooking is causing dangerously high

    levels of particulates in their households that can cause

    serious health issues

    The time spent cooking and/or collecting firewood inhibits

    women from entering the more formal work place and earning

    wages

    The desire to switch to a cleaner fuel is present, but the

    market must be established to allow for consumption

    OVERALL OUTCOMES

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    THANK YOU!


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