Teaming up to Study Health Impacts of Clean Cookstoves in Honduras

Bonnie Young

by Bonnie Young, Ph.D., MPH
Postdoctoral Research Fellow
Department of Environmental and Radiological Health Sciences
Colorado State University, Fort Collins, CO

Remember that parable about the boy and the starfish? It went something like this — a boy walked along the beach, picking up starfish and throwing them back into the ocean. A recent storm had passed, and the shore was covered with thousands of them. A man stopped and asked the boy what he was doing, pointing out that he couldn’t possibly help all the starfish. The boy bent down, picked up another one, threw it into the ocean, turned to the man and replied with a smile, “It made a difference to that one.”

Our research in environmental health can feel daunting. Around 2.8 billion people, almost a third of the world’s population, use solid fuel to meet their household energy needs, like cooking and heating (Bonjour et al., 2013). Using inefficient stoves to burn solid fuel — like wood, animal dung, and coal — creates toxic pollution. Imagine hovering over the thick plume of smoke from a campfire for hours a day. Now imagine doing that indoors for the majority of your life. The health impacts from breathing solid fuel smoke are many, such as lung cancer, pneumonia, poor pregnancy outcomes, and cardiovascular effects (Quansah et al., 2017). It is estimated that in 2015, 2.9 million people died prematurely due to their exposure to solid fuel smoke, mostly from cooking (Forouzanfar et al. 2016). In addition to the negative impacts on human health, these inefficient stoves create hazardous pollution for the environment and use resources, such as trees, for fuel.

Joanna B Pinneo 170320-Honduras-0710
Clean cookstoves, like this one, reduce deadly indoor air pollution, which accounts for an estimated 2.9 million premature deaths per year. Photo by Joanna B Pinneo

With a problem this vast, it can be hard to imagine that one project among 230 women in rural Honduras would make a difference.

Joanna B Pinneo 170321-Honduras-1348
The Colorado State University research team use health indicators, like lower blood pressure, to determine health impacts before and after a family receives a clean cookstove. Photo by Joanna B Pinneo

But we are making good on a promise that was made in 2014 to these women and their community leaders — to select a group of families to receive an improved Justa (pronounced ‘who-sta’) stove and visit them every six months for a few years to see how their pollution levels and health change after receiving a Justa clean cookstove. The Justa is a well-accepted, culturally appropriate stove, which was originally designed by Trees, Water & People, and is now made locally in Honduras. If you ask the women in our study, who had cooked their entire lives on traditional stoves and then received their Justa stove in 2016 or 2017, you’ll hear heartfelt stories of less smoke, less coughing, and cleaner air for the entire family.

Of course, it will be ideal at the end of the study if we see improvements in women’s health, like lower blood pressure, plus reductions in household air pollution and use of less wood-fuel.

Joanna B Pinneo 170324-Honduras-2977
Blood tests, like the sample being collected here, are another indicator of health before and after a clean cookstove is installed. Photo by Joanna B Pinneo

Changes like these can have larger public health impacts and potentially lead to stove interventions among entire communities. However, regardless of the bigger picture from this study, I know that the 230 houses that were involved with this intervention are now cooking on cleaner and more efficient stoves, with less smoke inhaled by the entire family, and I feel confident that we have made a difference for those “ones.”

Trees, Water & People and our partner organization,  Utz Che’, are working to build 500 clean cookstoves this year in Guatemala. If you would like to help fund a stove for a family or would like to learn more about the importance of this project, click the button below.

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References:
Bonjour S., Adair-Rohani H., et al., 2013. Solid fuel use for household cooking: country and regional estimates for 1980-2010. Environm. Health Perspec. 121, 784-790.
Forouzanfar M., Afshin A., et al., 2016. Global, regional, and national comparative risk assessment of 79 behavioural, environmental and occupational, and metabolic risks or clusters of risks, 1990-2015: a systematic analysis for the global burden of disease study 2015. Lancet 388, 1659-1724.
Quansah R., Semple S., et al., 2017. Effectiveness of interventions to reduce household air pollution and/or improve health in homes using solid fuel in low-and-middle income countries: A systematic review and meta-analysis. Environment International 103, 73-90.

The Principal Investigator of this project is Maggie L. Clark, Ph.D., along with Co-Investigator Jennifer L. Peel, Ph.D., MPH. This research is funded by an NIH K99/R00 grant (PI M.Clark).

Bonnie joined the CSU Honduras cookstove team in September 2014 after finishing a 2-year epidemiology fellowship in Hawaii. She earned her Ph.D. in evolutionary anthropology and M.P.H. from the University of New Mexico. As an Anthropologist interested in global health, Bonnie has worked with urban and rural communities around the world, including Mexico, Costa Rica, Paraguay, the Marshall Islands, and the Federated States of Micronesia. Her research interests span environmental health, tuberculosis, and perinatal health. Now as a Postdoc with the cookstove team, Bonnie enjoys the fieldwork in Honduras, working with community leaders, eating corn tortillas, tutoring neighbor kids in English, and doing yoga in her free time.

500 More Clean Cookstoves in Guatemala

By Sebastian Africano, Executive Director

Since 2006, Utz Che’ has been a tireless advocate for over 40 indigenous Guatemalan communities committed to protecting and sustainably managing their forest resources. Utz Che’ acts as a loudspeaker for indigenous causes and concerns, which are otherwise easily dismissed from the public discourse and policy-making dialogues.

Trees, Water & People (TWP) was introduced to Utz Che’s leadership in 2010 and has worked with them to add fuel-efficient cookstove technology to their services to reduce pressure on the local forests from which fuelwood is harvested, as well as reduce indoor air pollution. After several years of prototyping designs with Utz Che’ communities and Guatemalan manufacturers, last year we embarked on the full-scale implementation of 500 clean cookstoves manufactured by two local enterprises — ECOCOMAL and Estufa Doña Dora. The project was so successful that this year we are raising funds to install 500 more in high-need communities.

Learning about the new Doña Dora stove
In 2016, this community in southern Guatemala received Doña Dora stoves and were all trained by Doña Dora employees on how to install, use, and maintain their new clean cookstoves.

The cookstove models selected for this project are partially pre-manufactured for consistency but are installed in a brick and mortar body constructed by trained community members. In 2016, this included 159 men and 371 women. Hands-on training in installation, use, and maintenance of the stoves increases local investment in the program through sweat equity and allows community members to become more intimate with the technology. Community engagement improves the local support network around the cookstoves.

New clean cookstove in Guatemala
This woman in southern Guatemala uses her clean cookstove that was built last year to make tortillas for her family.

Cooking is a very personal tradition in Central America, so new technologies must be able to cook the same foods, with the same fuels, in the same amount of time as the traditional designs if they are to be accepted by all members of society. Trees, Water & People’s years of expertise, coupled with a locally fine-tuned design, and the trust and rapport that Utz Che’ has with its member communities make for an extraordinarily effective, participatory, and meaningful partnership.

If you would like to help us build clean cookstoves in Guatemala, or would like to learn more about the importance of this project, click the button below.

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Project Update: NICFEC Dorms Underway

By Lucas Wolf, International Director

June marks the gentle start of summer in the northern hemisphere, but in the more southern latitudes, particularly in Central America, June brings brutal summer heat. Despite that heat, construction workers are toiling, sweating, and laboring on the dormitory — our first major construction project on the site of the Nicaragua Center for Forests, Energy, and Climate (NICFEC).

In addition to the dormitory, a trench and pipeline are under construction from its base to a biofilter tank near the edge of the property. This biofilter, or residual water treatment system, will process and treat graywater from the dormitory and other buildings so that we can recycle the water for our agroforestry nursery, and clonal tree garden. Two thousand bricks have already arrived on site to construct the walls of the main building, with another 4,000 set to come later. The full dormitory project is on time and within budget and should be completed before the contractual deadline (and the arrival of the rains!).

Construction site
Construction site for the future Nicaragua Center for Forests, Energy, and Climate (NICFEC). 

Recently, we visited the NICFEC site with friends from the women’s cooperative, Artists for Soup, based out of La Paz Centro. This dynamic group has received training from our friends at BioNica and the Asociación para el Desarrollo Agroecológico Regional (ADAR) in the arts of biointensive smallholder agriculture, designed to increase food sovereignty and nutritional values in underserved communities. Elioena Arauz, the women’s cooperative leader, and her team will soon dig and plant 12 biointensive beds on the NICFEC site and contribute to our goals of sustainability, food sovereignty, women’s empowerment, and climate change adaptation and mitigation.

Future Dorms
Construction of the new NICFEC dormitory is currently underway.

At the end of May, our first organized tour of NICFEC and its surroundings will take place with a special group of Trees, Water & People donors, board members, staff, and a few new TWP friends. This group will get a behind-the-scenes look at our progress to date and meet with Proleña board members, architects, and construction specialists shaping the NICFEC vision. Upon the conclusion of this trip, we will move forward with agroforestry and landscaping plans as well as the development of our clonal tree garden.

We would love our supporters to take a trip with us to Nicaragua and visit NICFEC upon its completion. Please stay tuned for future travel opportunities by signing up for our email list!

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International Day for Biological Diversity

By Gemara Gifford, Director of Development and Biodiversity

Happy International Day for Biological Diversity from everyone here at Trees, Water & People! “Biodiversity,” is a term that describes the variety of life on earth, from microorganisms to the largest trees. It can also refer to the number of different types of species living in a particular area. When there are high numbers of multiple species in a region, we call this a “biodiversity hotspot.”

Did you know that Trees, Water & People’s work occurs in many biodiversity hotspots? Central America, in particular, is one of the most biodiverse places on earth, with eight ecoregions and dozens of microhabitat types, it can support an incredible array of human, agricultural, and animal life. The small country of Guatemala, for example, boasts over 350 species of birds — that’s more species than the entire country of Canada! On the Pine Ridge Reservation in South Dakota, grasslands are known as the most threatened and biodiverse terrestrial ecosystem in North America – a forgotten ecosystem to say the least.

A Black-throated Green Warbler in coffee plants in Honduras
A Black-throated Green Warbler in coffee plants in Honduras taken by TWP’s EcoTour participant, Jim Welch.

So, how does biodiversity loss affect humans?

At TWP, we know that biodiversity supports the overall health of the planet and has a direct impact on everyone. The next time you sit down to eat, think about this: every third bite of food you take is made possible by a pollinator, like a bee, bat, or hummingbird. Without a healthy biodiversity of pollinators, our current food system as we know it would collapse.

From an aesthetic point of view, many of us travel thousands of miles to see the rarest forms of life, like the odd cloud forests and creatures in Honduras. This brings us wonder, appreciation, and perspective. At the same time, it is important to be conscious about the carbon footprint that tourism has on the environment so that future generations may enjoy the diversity of life on our planet.

Honduran EcoTour
This cheery group joined Trees, Water & People on our first EcoTour to the Highlands of Honduras in January 2017.

This year’s International Day for Biological Diversity is focused on sustainable travel, and TWP is doing our part to take our place in this movement. Do you want to get involved with TWP to support the biodiversity of Honduras? Sign up for our eNewsletter to learn more about our second EcoTour to the Highlands of Honduras occurring in January 2018. Spots are limited! Together, we can support the earth’s biodiversity.

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Trees, Water & People Welcomes New Executive Director

by Sebastian Africano, Executive Director

I have long believed that people have the power to craft their own future. While each journey is unique, we all have the capacity to identify what we value, versus what we don’t, and to forge a path that produces more of the former and less of the latter. If we’re lucky, we have a moment where self-awareness, opportunity, and circumstance intersect, and we take that first step toward the future we want to live.

In 2005, I launched into a career in International Development by accepting an internship with Trees, Water & People (TWP) in Tegucigalpa, Honduras. There were more “unknowns” than “knowns” in the offer, and the pay would have barely covered my utility bills in San Francisco at the time, but as I stood at that intersection of introspection and opportunity, I knew this was a path I needed to follow.

Sebastian Africano with clean cookstove
Sebastian Africano got his start with Trees, Water & People as an intern helping with clean cookstoves in Central America in 2005.

Now, 13 years after my first conversations with co-founder Stuart Conway, and almost 20 years since the organization was founded, I am happy to take the next step on this path by accepting the role of Executive Director of Trees, Water & People – effective May 15, 2017. This shift comes after years of thoughtful succession planning and several deep conversations and interviews with TWP staff and board.

TWP set me on a path to discover the world through the smoky lens of traditional cooking practices, giving me an intimate, ground-level introduction to what life is like on the margins of global society. Through this experience, I’ve acquired a broad perspective of the uniqueness of life on our planet, and have made hundreds of allies who value our planet and global community enough that they have dedicated their lives’ work to protecting them.

Sebastian Africano working in the field
After many years of working in the field in Central America, Sebastian Africano will be spending more time in Fort Collins as Trees, Water & People’s new Executive Director.

Despite the hard truths inherent to our work, I find tremendous inspiration in the grit, hustle, hope, and smiles exhibited by the people we serve, both in Central America and on Tribal Lands in the Great Plains. Only by working together can we achieve a more sustainable future for our planet, and I’m privileged to support their struggles and aspirations daily through my work at TWP.

In this new role, my goal is to engage more meaningfully with you – our community of generous supporters. None of the impact TWP delivers would be possible without your support, and I know that together we can redouble our efforts to improve the lives of people and the planet.

I’m ready to craft our future together. Will you join me?

Richard Fox, Trees, Water & People’s co-founder and former Executive Director will be stepping down after 19 years but will remain on staff as the National Director through the end of the year. When asked about the transition, Richard had this to say, “I am honored to step down and for Sebastian to become the next Executive Director of this great organization. He has been trained for this position for many years, and we could not ask for a more compassionate, capable, and competent person to provide the next generation of leadership for Trees, Water & People.” Following his retirement, Richard will remain involved with TWP as a board member.

Trees, Water & People is excited to welcome our new Executive Director, Sebastian Africano! 

Opening Eyes and Hearts in the Honduran Highlands: Part 3

by Marilyn Thayer, TWP Board Member

This past January, I had the opportunity to participate in the inaugural Trees, Water, and People (TWP) service trip to Honduras, which integrated learning about both the principles of community development and bird conservation. I am pleased and honored as a board member and as a member of the Thayer family to reflect on and share what this experience has meant to me. Coming from Hawai’i, I was reminded several times during the trip the words that were so much a part of my life, the motto of the state — Ua Mau ke Ea o ka ʻĀina i ka Pono, meaning, “The life of the land is perpetuated in righteousness.” Pono, in particular, can be translated to further refer to goodness, care, value, purpose, and hope.

Protecting the land and perpetuating hope were clearly promoted and implemented by Centro de Enseñanza y Aprendizaje de Agricultura (CEASO), a TWP partner in El Socorro (Siguatepeque, Honduras). I first became familiar with the term, Finca Humana, when Rene, the founder of CEASO shared the historical perspective of his organization with us. Roughly translated to the “Human Estate,” Finca Humana emphasizes that developing a successful farm requires starting with engaging the entire family and making a life-long commitment together to developing the knowledge and practicing the diversification of the land. Rene also pointed out that Finca Humana involves the integration of the Head, Hands, and Heart.

Thayer Family Honduras trip 2017
The Thayer family making tortillas at CEASO.

Beginning with the Head, and through the lens of a TWP board member, I was open to learning as much as I could about the collaborative partnership that TWP has developed with CEASO. From the hikes to the watershed areas, the tours of family coffee farms, and the drives through the mountains of San José de Pane, I became aware that the challenges of climate change and deforestation are similar concerns in our state and country as well. This implies that it is critical that we continue to work together and learn from one another.

Next follows the Hands, for doing the work. Although I realize that I may never be fully proficient in building pilas (water cisterns) and Justa stoves, it is more important to support the process of training and engaging the leaders of the communities in working with other community members to learn how to build these projects.

Pilas in San José de Pane, Honduras
The San José de Pane community building pilas (water cisterns) with TWP tour participants.

But all of this must come from the Heart, which was best exemplified by the story of Doña Norma and her husband, Don Oscar.  After spending the day building the first Justa stove, we sat in the living room of the family in their modest home, not having realized that this was in actuality the home of Doña Norma’s brother, which was serving as their temporary residence. Through tears, she shared the lengths to which they had gone —hard work and numerous sacrifices — to build a home, of which they were so proud but tragically lost to a fire. But Doña Norma asserted that despite the loss, they all survived, remain strong, and still have one another.

Well, what impact did the pila and stove projects have on the families and communities? These projects instilled a sense of hope that families and communities have for their future. I returned from this trip inspired, with a deeper sense of humility, and new friends who now are part of our family. I am most proud of the Heart Work that TWP truly does — working with the passion for building relationships and connections that foster a sense of hope with people on a respectful, authentic level.

If you are interested in going on a work trip with TWP, or learning more about what we do and the people we work with, sign up for our monthly eNewsletter! 

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When They Win, We All Win!

by Sebastian Africano, International Director 

One great thing about working at Trees, Water & People (TWP), is that victories can come from any of several directions, at any time. We keep multiple irons in the fire at TWP, as we deliver impact in many forms, and our partners are versatile, talented, and irrevocably dedicated to improving life for the most vulnerable people in their respective countries.

In 2017 no victory thus far has been as satisfying as the news we received last week from our long-time partners, Árboles y Agua para el Pueblo (AAP) of El Salvador. For seven years, with TWP support, they’ve been working with a ring of communities surrounding a lush and threatened National Park, San Rafael Los Naranjos, in the west of the country. They’ve implemented clean cookstoves, environmental education programs, interpretive park management training, small-scale solar lighting systems, and sustainable agriculture training in communities surrounding the park, and have gained a tremendous amount of trust and credibility for creating impact in a notoriously challenging environment.

Tree nursery
Árboles y Agua para el Pueblo’s (AAP) tree nursery has produced hundreds of thousands of trees for western El Salvador and provides agroforestry training to small farmers.

That credibility became all the more tangible this week, as AAP was officially named co-managers of the park by El Salvador’s Ministry of Environment and Natural Resources. As part of this role, they will help train and support the park’s rangers in working with the communities that live in, and around, this protected area. This is a prestigious honor for this small and dedicated group of conservationists.
But that’s not all…

Armando accepting a grant
Armando Hernandez Juárez accepting a grant on behalf of Árboles y Agua para el Pueblo from the Initiative Fund for the Americas (FIAES).

Almost concurrently, AAP received notice in a public ceremony that they were one of four NGOs in the country approved for a 12-month grant from the Initiative Fund for the Americas (FIAES) to help them expand their programs in San Rafael Los Naranjos. This grant will permit them to continue the important work of making this park a destination for Salvadorans and international travelers alike while ensuring that livelihoods in the communities surrounding the park improve in parallel with the health of the park’s ecosystems and biodiversity.

We are a capacity building organization. When our partners win in this way, our donors can be certain that their investments in TWP are doing exactly what they’re supposed to do. Your support, be it small or large, infrequent or monthly through our Evergreen Circle, helps make these victories happen, and we are grateful for it. These victories remind us that working together, we can still do much good in the world. And when TWP’s partners win, WE ALL WIN.

FELICIDADES AND CONGRATULATIONS, AAP!

You can be a capacity builder, too! Please donate to Trees, Water & People today to ensure great partnerships like this one continue! 

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