RE: WHO report (and remediation costs)

["Ron Larson" <ronallarson@qwest.net>]

Paul and Grant:

	Thanks for bring this WHO report to our attention.

 I encourage others to read some of this (leads given by Grant are repeated
below)

I skimmed through for a few hours today and wonder if anyone can answer a
few questions:

	1)  Can anyone explain how to convert from US$ to I$?

	2)  The chapter 4 figures are helpful - but I think those in Chapter 5 are
equally so.  There we learn what medical people are paying to save a "DALY".
A really good policy option seems to cost about I$1 to save a DALY  (really
should think of I$10 Million for 10 million DALYs).  But there are few
options that good - and health officials are considering 10 to 100 times as
much money (or that many fewer DALYs).  There is no information  in Chapter
5 on stoves.

3)  Chapter 5 has nothing on indoor air emissions and associated DALYs.  I
am guessing that the whole world of stoves is just too new for WHO - and we
in stoves could help get policy options into the next Chapter 5 if we
started a thread and perhps had some real data to share.

5)  In the poorest developing countries, where "indoor smoke from solid
fuels" is the #4 killer - this category is approaching 4% of all DALYs.  In
Africa Figure 4-11 shows a drop in life expectancy by 16 years from all
causes.   Can anyone tell me what the "indoor smoke" category is in years
lost on average?  (Is it perhaps 1 year for women and children?  Or more?)

5) Two of the three higher categories are "underweight" and "water, etc"
which are perhaps related to stoves as well.  Any comments from our health
experts on whether the 4% value for stoves is perhaps low?  It is not clear
which health diagnoses are tracked back to this single cause.

7).  Anyone able to give the DALYs for the category AFR-E - which seems to
be the part of the world most able to benefit from improved stoves?  (But
also very big in Asia.)

8)  Then we can perhaps multiply that number by I$10 to see if we/stoves can
be competitive in asking for health related preventive measures.

9.  Has any stoves list member carried these computations along and gotten
an answer that they can share with all of us?  Are there particular
countries (as opposed to regions) that stand out as being most appropriate
for this sort of approach?  Do we have any idea where China and India would
stand in these regards?


Sorry this is a little scrambled - just don't have time to figure this all
out when I am sure we have members who have given it some thought.

Ron

>The full report can be accessed online at http://www.who.int/whr/en.
>See Chapter 4 and Annexes 6-15 in particular for details related to
>environmental risk factors which include solid fuel use.
>
>Particularly relevant sections include:
>
>http://www.who.int/whr/2002/chapter4/en/index7.html
>
>and
>
>http://www.who.int/whr/2002/chapter4/en/index10.html#fig_4_10 -- see
>Figure 4.10
>
>Thanks to Kirk Smith for bringing the report to our attention.



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