[SPEAKER_15]: yo sitou nan risk pou sa. Se konsa, gen kèk kontèks istorik. Anpil kominote nwa ak mawon te sibi segregasyon rezidansyèl yo. Sa a se pa nouvèl pou ou, men mwen jis te vle ou jwenn yon chans li li, ki te pouse nan rediksyon nan resous ak enfrastrikti move. Kidonk, lè nou gade nimewo yo, timoun nwa yo gen plis pase de fwa chans pou yo gen opresyon. Timoun nwa yo gen 7.6 fwa plis chans pou yo mouri ak opresyon. Ak nan 2021, 72 milyon moun ki gen koulè yo ap viv nan zòn ki gen gwo nivo ozòn ak oswa patikil polisyon. Kidonk, lè nou fè koneksyon ant poukisa nou kenbe seri a ak efè chanjman nan klima ak tou travay ke nou fè nan vil Method, Biwo Prevansyon nou an epi tou Biwo Planifikasyon, Devlopman ak Dirab. Mwen toujou dwe sonje sa PDS vle di. Kidonk, soti nan inondasyon rive nan vag chalè, timoun nwa ak mawon yo gen plis risk pou rezilta sante ki gen rapò ak klima. Epi nou gen Health Equity Council tou nan inite sa a, ki se Brenda Pike, planifikatè klima nou an, ap dirije ekip sa a ak Medford Connectors nou yo, Charbel, Lizette, Samia, ki pa isit la, ak Natasha, ki se vityèl. Kidonk, Ekite Klima a se yon komite ad hoc ki pral konseye vil la sou aplikasyon Plan Aksyon Klima a ak yon konsantre sou reprezante enterè gwoup ki te deja pa reprezante yo nan vil Method. Se konsa, ki jan ou ka ede? Aprann sou pwoblèm jistis anviwònman an, patisipe epi rete angaje. Ou ka rete angaje. Nou gen banyè rale-up sa a epi ak yon kòd QR, ou ka rete angaje ak sa oswa kontakte swa mwen menm oswa Brenda epi jis konekte avèk nou nan City Hall. Epi se li. Se konsa, mwen pral Dr Britta Lundberg se sou wout li. Li se trafik se terib. Li ap kouri dèyè konsa men li pral oratè nou aswè a epi li pral ale plis nan pwofondè sou efè opresyon sou timoun yo. Se konsa, mwen pral mwen jis mande pou yon ti pasyans.
[SPEAKER_00]: Asire w. Wi. OK. Se konsa, pandan ke nou gen kèk tan, youn nan bagay sa yo si ou si ou vin sou nou nan zòn nou an ti demonstrasyon sou la pita, nou gen yon plat endiksyon pòtab la, ki se yon plat elektrik. Ak youn nan gwo bagay sou sa, anplis benefis ki genyen ak opresyon, se ke li pa chofe a. Tèt recho a ak zòn nan alantou li kòm anpil li jis konsantre chalè a sou chodyè a tèt li kidonk li nan gen yon li fè yon jaden elektwomayetik li Se konsa, si ou gen yon chodyè metal ke yon leman pral tache ak li pral travay sou sa epi li jis chofe po a Se konsa, mwen kapab mwen pral montre w pita Mwen ka limen l, mete men m sou li, li p ap boule men m paske li pral sèlman chofe metal. Mwen ka mete yon sèvyèt desann epi mete po a sou sèvyèt la epi kwit nan sèvyèt la epi li pa pral boule sèvyèt la paske li jis konsantre chalè a sou chodyè a. Se konsa, li ekstrèmman enèji efikas, li ekonomize enèji ou, li ekonomize lajan, epi li diminye risk pou dife. Epi li amelyore rezilta opresyon tou. Se konsa, li se yon gwo benefis. Gwosè inite yo, tankou recho regilye yo, yo pi chè pase yon recho tradisyonèl yo. Sa a kizin pòtab isit la, li se $100. Li relativman senp. Apre sa, mwen kwit sou yon sèl pou majorite nan kwit manje mwen an pou yon ane. Epi li te vrèman gwo. Si ou vle eseye li pou tèt ou, Bibliyotèk Piblik Medford la gen de kizin endiksyon, sa ki pòtab tankou sa, ke ou ka tcheke deyò nan bibliyotèk la pou eseye li pou yon koup de semèn epi wè si se yon bagay ke ou enterese nan. .
[SPEAKER_10]: Se konsa, gen kafe ak kèk manje dwèt, si gens yo enterese.
[SPEAKER_07]: Men, mwen panse ke pandan n ap tann, nou ka di. Bon, koman ou ye? Bonjou. Oke, pou yo ka wè sa, yo pa ka wè sa.
[SPEAKER_09]: Alo, koman ou ye? Vrèman bon. Bon, mwen se Kevin ki soti nan Equity Community Media, k ap ede ak tout sa.
[SPEAKER_13]: Oke, kokenn. Nou jwenn mikwofòn ou isit la.
[SPEAKER_02]: Kite m 'kouri nan do a epi jwenn reset. Epi èske Lisa mansyone mikwofòn pòtatif la pou odyans lan tounen la tou? Wi, oke, bon.
[SPEAKER_09]: Kòm mwen te di, li te yon demi èdtan lè mwen gade maten an. Apre sa, mwen te tankou, mwen konnen li pral yon ti kras pi okipe. Li ka 40 minit. Apre sa, mwen te kontinye ap eseye trè entelijan sou li. Epi jis chak fwa, Lè sa a, mwen te tankou, omwen li te pran li yo dwe yon koup de minit.
[SPEAKER_07]: Li pa t ale trè vit. Mwen tèlman kontan wè moun soti. Nou gen kèk bagay sou sware ouvèti.
[SPEAKER_04]: epi li t ap pase avè l chak ete.
[SPEAKER_15]: Oke, se konsa nou tounen. Mwen jis te vle prezante Dr Lundberg, ki moun ki pral oratè nou pou aswè a. Li se yon doktè ki resevwa fòmasyon nan maladi enfeksyon ak ansyen pwofesè asistan nan Divizyon Maladi Enfektye nan Emory University. Li se CEO ak fondatè Health Equity Institute ak Lundberg Health Advocates, ki se yon gwoup defansè pasyan. Health Equity Institute ofri edikasyon defans ak finansman pou sèvis defans pwogram pou pasyan ki nan bezwen. Doktè Lundberg se yon manm aktif nan Climate Code Blue, yon gwoup defans ki dirije yon doktè ki dedye a ogmante konsyantizasyon piblik sou efè chanjman klimatik sou sante. Li se yon ansyen prezidan konsèy la ak manm aktif Greater Boston Physicians for Social Responsibility e li se yon manm Komite Anviwònman ak Sante Okipasyonèl Massachusetts Medical Society. Mwen pral pase mikro a bay Dr Lundberg.
[SPEAKER_09]: Sophie, how do I change the slides? I can change it for you. Oh, I can just say next slide. First of all, thank you all so much for coming out on a Wednesday night to hear about air pollution and climate justice and the health impacts of childhood asthma in black children, because I think this is such an incredibly important topic, and I am so glad to be here. Next slide. So just a few words about what is asthma. And I'm sorry, these slides are kind of far back, but I think you can see them OK. So it essentially is a hyper-reactivity of the airways that causes swelling, difficulty breathing. I'm sure that many of you in this room, I as a parent and the parent of two kids with asthma, I'm sure a lot of you are involuntary experts about asthma. And so I probably don't need to tell you too much. But what I do need to tell you is that there are several triggers for asthma. There are triggers that we can do things about, and there are triggers we can't do things about. The triggers we generally can't do so much about include cold air, exercise, viral infections, you know, that your kids are going to be exposed to or that you are exposed to. But tonight I'm going to talk about the things we can do things, something about. And I'm going to talk about who this disease is most common in. So it turns out, and actually it was really a pleasure to me to prepare and a bit of a shock, I have to say, to prepare this talk because it was somewhat of an eye-opener to me. I did not know all of these statistics, so I'm just going to share with you some pretty sobering statistics that I wasn't aware of. So as many of you know, black children have a higher risk of developing asthma than children of other racial groups. Black children have more than double the asthma rate, 12% versus 5.5% in other groups. Emergency use is much higher. And there's an increased asthma fatality rate. Now, these data are for across the country. They're not for Massachusetts. Massachusetts, it's a little lower. But in general, the asthma fatality rate is almost eight times higher in black children. Next slide. So that list of triggers that I put up there in the slide before this mentioned a whole bunch of triggers, mold, allergens, pollen, as I said, exercise and whatnot. And it mentioned smoke, but it doesn't mention what we're gonna talk about tonight, which is air pollution. I really feel like the NIH should list air pollution as a trigger and cause of asthma because the data tell us that it is. Air pollution in Massachusetts, according to a 2019 study by Boston College professor Dr. Philip Landrigan, showed that 15,000 cases of asthma in 2019 are due to air pollution in our state, and they're disproportionately affecting communities of color. But air pollution isn't just a cause and a trigger of asthma. It's a cause of a lot of other stuff. It's a cause of IQ loss in children. It's a cause of low birth weight among newborns. And, importantly, it's a cause of death. Worldwide, it accounts for 3 million deaths. It's the fifth leading risk factor for death in the world. And in our state, it accounts for 2,800 deaths a year, at least in this 2019 study. The important thing to note is that those deaths occur in every single community in Massachusetts, regardless of income, regardless of race, but they disproportionately occur among communities of color. And so, and the other important thing about that study is that it turns out that the level of particulate matter that the EPA believes is protective turned out not to be protective in that study. The levels that they saw health effects at were much, much lower, leading the authors to recommend much, much lower levels of pollution that should be allowed. Now if I just asked you what the number one trigger is in terms of houses about what the trigger for childhood asthma is, I put it on the slide, I should have asked the slide before, but actually the number one trigger for pediatric asthma is gas stove use in the house. And so that is what I'm gonna focus my talk on, but I thought I'd mention outdoor air pollution right at the get-go also. Next slide, please. Again, just reinforcing what I just said, there are disparities around who's exposed to air pollution. On average, nationally, people of color are exposed to 38% higher levels of the air pollutant nitrogen dioxide. It's just a common air pollution pollutant. And we in the Northeast, ironically, you know, we... I grew up thinking, oh, we're so much more enlightened. No, no, no, not when it comes to air pollution. Actually, the disparities in the Northeast are some of the worst in the country. And one of the top 10 cities in terms of those disparities is Boston. And one of the two top 10 states in terms of locating sources of air pollution including things like hazardous waste facilities and biomass incinerators and natural gas infrastructure like compressor stations and oil and gas pipelines and that kind of thing. There are two top states in the country for that. One is Wisconsin and one is Massachusetts. So that's distressing. Next slide please. So it's important to talk about childhood asthma, because there are three really important reasons why children are more susceptible to air pollution provoked asthma. First of all, they breathe at a higher rate, so they take those pollutants in at a higher rate. Second, because they're smaller, they have a higher lung to body weight surface area, and so they absorb more of those pollutants. And second, they have very immature developing respiratory systems, and so they're just not equipped to handle that level of pollution. I was asked to speak about the interaction between climate justice and asthma, and in fact, there's a very powerful interaction. Climate change, whether caused by wildfire smoke, as you see on the left, or flooding, bottom right, or drought, any of the commonly occurring things with climate change, all increase the respiratory disease and they compound racial disparities. The driver of climate change is fossil fuels and oil, gas, coal, infrastructure that produces all of this air pollution that then is a driver of climate change. And the interesting thing is that the fossil fuels don't just cause the climate change, they also are a direct provoker of asthma themselves. Next slide. Now the great news here is that cutting air pollution has immediate effects. I mean, really almost immediate. So we see asthma rates, heart attack rates, they fall rapidly. Babies are born healthier. Next slide. And how do we know that? So this is just a bunch of studies showing this effect. I'm just going to focus on the second one down. You might remember at the Atlanta Olympics, they really limited driving and transportation And they made all of the local, anyone who produced any local sources of air pollution, to really ramp it down so that the air quality would be better for the Olympics. And a bunch of physicians thought, well, this is interesting. Why don't we look at asthma at the same time? With all of this air pollution falling, we would expect it to get better. It plummeted. And that within weeks. So within 17 days, they had decreased emergency room visits for childhood asthma, decreased hospitalizations. And it wasn't just the Atlanta Olympics. They saw the same thing for the Beijing Olympics, because China did the same thing. And they really got very, very strict about their air pollution standards. And they actually looked at some of the data in lung tissue, and they saw decreased inflammatory markers. and decreased incidence of asthma exacerbations and inflammation. And so seeing all that data, we can just finish up and go home, right? Because we've got all the answers here. The answer is to decrease air pollution. Well, unfortunately, it's not that easy. Next slide, please. This is an article that I wrote in collaboration. They left off my co-author, Dr. Adrian Allen, who is Awesome, and they, anyway, I have to bother them about this, because I just noticed this when I pulled up the article. They've rebranded as Commonwealth Beacons, so when they were Commonwealth, she was on there, and now she's not. But it's just an article about pollution inequality in the state of Massachusetts, and all the roadblocks that we have been running into in terms of communities of color being disproportionately impacted by locating polluting infrastructure in them, like the Peabody Peeker plant, right in a community that's a disalready overburdened by too much polluting infrastructure, the Weymouth Compressor Station. Two success stories that I should mention since Governor Healey came into office are the Long Meadow Pipeline that the DEP put the kibosh on, and a biomass incinerator in Springfield. So we've had some victories, but by and large, Regulating outdoor air pollution is a real challenge. So that is why I'm going to focus on indoor air pollution. Next slide. Because this is something we as individuals can do something about. Next slide. Now, you might not know this, but indoor air quality is often much, much worse than outdoor air quality. And that is an important thing to think about because we spend up to 90% of our time indoors, right? That said, the EPA has said that indoor air pollution can be anywhere from two to five to 100 times worse than outdoor air quality. And homes with gas stoves emit 50 to 400 times as much of a very powerful air pollutant called nitrogen dioxide that we'll talk about in a minute than homes with electric stoves. Next slide. This is an important thing to know, because asthma is the second most common chronic illness in Massachusetts. One in eight children in Massachusetts have it. And 15% of that is attributable to gas stove use next. That's a problem, because gas stove usage is widespread in our state. Over 50% of over half of the houses in Massachusetts use gas to cook, houses and apartments. And in fact, as I mentioned earlier, this was a study in 2017 from the Massachusetts Department of Public Health showing that gas stoves are the number one trigger for indoor asthma, number one trigger indoors for childhood asthma exacerbations. As we mentioned before about outdoor air pollution, this too is an equity issue. Lower income households are at higher risk of exposure and illness. Why is that? Because their houses and apartments tend to be smaller. Their ventilation, they might be older homes, they don't have as fantastic ventilation. Also, frankly, With an effort to try to get houses tighter in terms of not leaking as much and being climate friendly and that kind of thing, by making the envelope of the house tighter, you therefore cut down on the ventilation too. And that's another factor that isn't on the slide in terms of increasing. Sometimes households use that stove or oven to supplement heat. They're also disproportionately exposed to outdoor air pollution. All of that adds up to a greater asthma burden. Next slide. So some people ask me, well, why haven't I ever heard about this? When we first passed a policy at the Massachusetts Medical Society to just raise awareness in the general community about asthma and childhood asthma and gastrofuse, I remember going to a party after this passed. It was just a holiday party, and mentioning that this happened. And someone looked at me, and they were like, what? What are you talking about? You're the first person in the world who has ever said anything to me about this. Now, I have to say that since that time, that was 2019, and since doctors have started speaking up about this issue, the number of articles in the popular press has just increased exponentially. It was like no one talked about it before, and therefore, no one did much about it either. And why? Well, the same reason sort of is the same as what happened with cigarettes. The cigarette companies knew since the 1950s that smoking cigarettes was bad for people's lungs, and they also knew that it was bad for other people in the household, so-called secondhand smoke. Well, it was the same thing with this issue. This has been extensively studied since about the 1980s. We have had really good data showing that gas stove use is not good for people's health. And yet, it hasn't gotten out there. When the Massachusetts Medical Society passed that resolution to let the public be more aware of this association, I was actually approached by a former EPA official who thanked me for bringing this to light because she said it had just been so concerning for such a long time and it wasn't getting enough attention. Next slide. So this is just a list of the different health organizations that have now recognized the association between gas stove pollution and childhood asthma, the AMA, the American Public Health Association, Mass Medical Society. Next slide, please. So why are gas stoves a health hazard? And why am I calling them like the secondhand smoke of our time? Well, it turns out that just like cigarette smoke, they actually emit the same really powerful pollutants that cigarettes do. Really interesting. Next slide, please. So they produce, as cigarettes, Many more things than the three things I've listed here, but I'm gonna focus on these, because they actually produce hundreds of different pollutants. But the big ones are something called PM2.5, which is particulate matter. It's an air pollutant. It's associated with asthma, COPD, heart attack, stroke. Also, nitrogen dioxide, another air pollutant and respiratory irritant, and carbon monoxide, which many people know from carbon monoxide poisoning, which can happen in the house, but it happens whenever you light up a cigarette, you can get some carbon monoxide, and it also happens when you cook on your stove. Next slide, please. I love to talk about, I think particulate matter is super interesting. So what you see at the bottom of the slide there is a shaft of your hair. 30 particles of particulate matter of this size, 2.5 microns, They're so small that 30 of them can fit into the diameter of a shaft of hair. So that's the size of pollution we're talking about. Why are we concerned about it? Because when you inhale it, it can penetrate deep into the lung where it triggers things like asthma, and then it can cross into the bloodstream from the lung where it can go to the heart and cause inflammation and cause things like heart attack. It can go up to the brain and cause inflammation and cause things like stroke. The important thing, it's associated with pneumonia and high blood pressure. The things to remember, children are especially vulnerable. It's especially at high levels, at stroller level. So when you're pushing a child along the street, that's where the particulate matter is the highest. And the other important thing to know is that, as I've mentioned before, risk exists at any level. So the EPA has given a cutoff level of what they call satisfactory, but it turns out that we see health effects down to the very lowest level. Next slide. Nitrogen dioxide. This is just a slide showing that the more nitrogen dioxide you have in the air, the more severe asthma reaction you're going to have. It's interesting that you start to get effects at about a level of 10 parts per billion. The safe cutoff for our EPA is 100. So you're allowed to be exposed to a hundred parts per billion But as you can see you get symptoms far below that and it also just lists where gas stoves versus electric stoves Tend to emit. I find that the most interesting thing about nitrogen dioxide when I was at a medical conference years ago one of my pulmonologist colleagues brought a really interesting contraption into the conference and I and he had collected some really polluted air outside, just right outside the convention center, the air that we had been breathing until we walked in to go to this seminar. And he brought it into the convention center, and he said, I have this really cool machine where I breathe it in, and then when I exhale, it can show all the different pollutants that are in the air that I've just breathed out. So you guys can see the pollution in the air that I'm breathing in, and then in the air that I'm breathing out. And actually, this data has been around since the 1960s. There's an article in Nature that shows this happening back then, too. And so he breathed in this extremely polluted air from outside. And when he breathed out, how much nitrogen dioxide was in what he breathed out? Nothing. And what does that mean? That means it's all in your lungs. So he was nicely filtering it for the rest of us. So think about that. And that's why these kids are so affected. They're really little. They're breathing in all of these super irritants, and they're staying in their lungs. Next slide. So, it's sort of a recurrent theme now. Children are exposed both to outdoor and indoor air pollution. So, they're cumulative and that's something to remember too. And again, the predominant source indoors is your gas stove. Next slide. And often, indoor emissions from gas stoves exceed outside, outdoor regulatory standards. Incredibly, there are no indoor air pollution standards for any pollutant whatsoever. It isn't regulated. Next slide, please. Very important slide. Gas stoves, if you don't use ventilation, if you have a house or an apartment that's less than 1,500 square feet, the nitrogen dioxide in your house is going to exceed regulatory standards 83% of the time. If you have a home or an apartment less than 1,000 square feet and you don't use ventilation, it's going to exceed regulatory standards all the time, 100% of the time. Next slide. Does cooking with gas increase asthma risk? Yes, it does, 42%. Next slide. And the other really important thing to know, that just again, this data is just fresh from the last year, is that even when the stove isn't turned on, gas stoves leak. And they leak bad stuff. They don't just leak methane. There was an article in the Boston Globe the other day about a woman She lived in Dorchester and her little dog was lying on the sofa and it died because her gas stove was leaking methane and methane is an asphyxiant gas. You go to Wikipedia and it says methane is an innocuous asphyxiant gas and I was like, well, innocuous means not harmful and asphyxiant means that you die from not being able to breathe and so you can't really say that it's both. But it leaks. Do you want me to wrap up? Is it, okay, okay. So another, so in addition to methane, which is an asphyxiant, killed the poor little puppy, but they don't just leak methane, they leak other stuff. They leak something called benzene, which is a known cause of cancer. It, like particulate matter, there's no safe level, it affects the nervous system, can cause birth defects, and it also leaks a bunch of other chemicals. Next slide. And by the way, it doesn't matter how expensive your stove is. The cheapest stoves and the most expensive stoves leak. And this is just an interesting slide. So some people say, well, how do I know that I won't get all of these pollutants if I cook on an electric stove? So this is a study showing whenever you burn anything, you're going to get some particulate matter. But it's interesting that when you cook with gas, you get a lot more particulate matter, and you also get all those other pollutants, the nitrogen dioxide, the VOCs, which is benzene, formaldehyde, carbon monoxide. Next slide. The health cost, asthma costs on the order of like $80 billion in the US annually. If you break that down to a per person per family cost for what you'll spend on asthma in a year, it comes out to some like $3,200 a year. What's the cost of an electric stove? Like $500 to $1,000. So when you think about the health cost to society versus the cost of changing out that stove, maybe it's something to think about when your stove's ready to die. Next slide. I just thought I'd quote a bunch of interesting data that just came out like two weeks ago from a really great article in Science from both Harvard and Stanford researchers. And they looked at both, because many people, there's another article that I quoted in there that I wrote a couple years ago. People wrote to me afterwards saying, but what about propane gas? Because we cook with propane gas, and is that as bad as methane gas, which most of us have? And it turns out, yes, it is. And they looked at the US as a whole, and they found that the pediatric asthma cases due to the nitrogen dioxide from gas and propane stoves is like 50,000 a year across the US. But if you look at all the pollutants we just talked about, the benzene and the carbon monoxide and the nitrogen dioxide, it's more like 200,000 cases of pediatric asthma a year. So that is a whopping number. Mortality, they made a mortality estimate. They said up to 19,000 adult deaths annually from gas stove use in the U.S. pretty a whopping, and what's the mortality cost of that? They said on the order of a billion dollars a year in the US, and actually then they broke it down to communities of color, and they found that the price tag was even higher. The most concerning thing actually to me about this study was that they didn't just look at levels of these pollutants in the kitchen. They went all over the house and they found that the levels of pollutants in the bedrooms were equally as elevated and they stayed elevated for hours after the gas stove was used. So something else to think about. Next slide. So what can we do about it? Does ventilation help reduce nitrogen dioxide levels? And the answer is a definite maybe. It works if you use it. I'm one of those people who, I didn't know this data till I was, till about 2017 or later. And so in the winter when my kids were little, I used to put, my ventilation like leaked like a sieve and you know this is Massachusetts it's cold so I've thought I was being really smart and I covered it with plastic, so that I wouldn't get a ton of cold air coming right through the vent from the outside. And then my kids got asthma, and then I started reading about this data, and I thought, gosh, you know, I'm gonna take the cover, all that plastic I put on in the winter, off of my vent. And I didn't even run it that much, but because it created a constant draft, at the end of, my son was a big runner, and at the end of his cross country season, I was like, you know, I'm never at the end of the race, so I haven't seen you using your inhaler, How many times did you use it this season? And he was like, I didn't use it this season. But the problem with ventilation is people don't like to use it. I found at the end, right before our gas stove died, and I became more and more concerned. I have to let you know that one of the researchers who carried out that Harvard study I mentioned, she uses an N95 mask when she cooks on her gas stove. I don't think I could do that, because anyway, I don't think I could do that. But I did start running my fan every single time I ran my gas stove. And I noticed that the whole kitchen just cleared out. Like I wanted quiet in the kitchen and I just turned on that fan, my husband was gone, the kids were gone, no one was in the kitchen, no one likes using the fan. So that's a real problem is compliance. People just don't use it, they don't like it, it's annoying, it's loud. But it does work as long as it vents to the outside. If it doesn't vent to the outside, if it's one of those fans that just recirculates things in the kitchen, those ones can actually end up with levels of pollution higher than what you started out with. So those are really not good. And then if you don't have a fan that goes to the outside, open a window. Opening a window works great. Next slide. And so this is just a whole bunch of recommendations to install a carbon monoxide detector. I recommend getting a pretty expensive one. I didn't get an expensive one. And our heat exchanger on our gas furnace died and melted. And we ended up having carbon monoxide all over the house. And our monitor never picked it up. I smelled the weird burning smell, and I called the gas company. And my family was like, what's the problem? Well, the levels were really, really high. That was the problem. Opening a window, cooking on the back burners, using other electric appliances like a toaster oven or a kettle, a plug-in induction stove, and then ultimately, when you can and if you can, switching to an electric or an induction stove. Next slide. So the proof in a lot of medical studies is, well, when you take whatever you think is causing a medical condition away, does it get better? This is a really nice study in Ecuador showing that replacing gas stoves with induction stoves reduced markedly emergency room visits and hospitalizations. Next slide. And right now, there was also a study in the Bronx that showed the same thing. And now we have a study ongoing in collaboration with the BU School of Public Health in Dorchester, where they are looking at the environmental and health effects of replacing a gas stove with an electric one. Now I should just mention, it's very interesting in the Bronx study, I don't have the data up here, But it only reduced the air pollutants in the air by about 30%. But I showed you in the earlier slide of gas stoves versus electric stoves, you know, when you go to an electric stove, it should take all of those air pollutants out. And I think that tells us that the problem is in communities of color, if you take away the indoor air pollution, you still have the problem, which is that the outdoor air pollution didn't go away. And so this gets at some of the problem, but we still have to face that whole problem. Next slide. So just a few takeaways. Now you know gas stoves are the number one trigger for asthma and an indoor trigger in the state of Massachusetts. And communities of color are disproportionately and unfairly burdened by that. What can we do to stop those negative health effects? You can vent your stovetop emissions, but remember, they have to vent outside. You can't just recirculate them. Open your windows. Keep the children, elderly people, people with asthma away from the stove while you're cooking. I think a really important part of this, too, obviously is going to happen at the policy level. This isn't mentioned much, but one thing I'm kind of passionate about is, you know, There's external ventilation required for hot water heaters and your gas dryer. You wouldn't think of venting that inside, right? Or your gas furnace. You wouldn't think of venting that inside. Gas stoves used to vent outside. And at some point, In the last 40 years, that changed. And so I feel very strongly that gas stoves should vent outside. I think putting a warning label on stoves. There's a warning label on my hairdryer, like do not drop this into a tub when you're using it because there's a risk of electric shock. I don't think 19,000 people die every year in the US because they've dropped their hair dryer in a bathtub and gotten an electric shock, and yet there's a label on it. But 19,000 people a year die from gas stove exposure and there's no label on it. Where does that square up? Dozen. And then, obviously, replacing a gas stove with an electric or an induction when you need a new one. And then, most importantly, I think, is regulating air pollution, outdoor air pollution. Because yes, you can get rid of indoor air pollution, but if you don't regulate the outdoor one, and say, enforce the roadmap law that was just passed in Massachusetts a year and a half ago, saying that we shouldn't be locating dirty incinerators and power plants, et cetera, in communities of color that are already overburdened by all of those. It's time to make that all happen. And that's all I have. I have some resources, next slide. And then next slide, more resources. So I'm happy to share those with you afterwards. I don't, I should have brought a handout, but I didn't. And I'm happy to take any questions. You're all probably in shock. You're like, oh no, the gas stove. I love the gas stove. I love gas stoves too. But you get used to electric. Yes. So do you want to take her the mic? Yeah.
[SPEAKER_11]: Se konsa, ou mansyone recho gaz la ak efè a sou opresyon. Ki sa ki sou sistèm chofaj la ak, ou konnen, tiyo yo ke pafwa pifò pwopriyetè pa mete ajou epi yo plen ak swi epi, ou konnen, pafwa. ou ka wè li aktyèlman nan tèt vantilatè a gaye pousyè epi ou konnen, kidonk sa a se yon lòt bagay. Mwen te soufri sa a, pi gran pitit gason mwen an, mwen te viv nan yon apatman ki te gen pwoblèm sa a epi mwen remake ti sèk nwa alantou je l '. Doktè yo mansyone yon bagay ki gen rapò ak sistèm vantilasyon an men yo pa t konfime oswa renmen, kòmanse nenpòt bagay ke ou bezwen deplase soti nan apatman sa a, ou konnen?
[SPEAKER_09]: Wi, mwen panse ke li se yon gwo pwoblèm, evidamman, paske li se pa sèlman recho a gaz, li se tou founo gaz. Mwen te gen yon founo gaz ki te pwobableman koule monoksid kabòn pou yon bon sis mwa anvan mwen reyalize li, epi mwen remake mwen pa janm jwenn tèt fè mal, epi mwen te resevwa tèt fè mal chak jou. Mwen menm, zye mwen, blan zye mwen yo te jan de piki, yo te wouj, epi mwen te tankou, sa enpè, mwen se, ou konnen, epi mwen te fatige tout tan, mwen pa janm fatige. Epi Apre sa, mwen reyalize, o Bondye mwen, mwen te soufri ak monoksid kabòn kwonik paske founo gaz mwen an te lage tout bagay sa yo. Founisè gaz yo ka koule menm jan recho koule. Se konsa, ka chofaj dlo cho. Yo ap fè yon etid tou sou fwit gaz nan kay atravè Massachusetts, epi mwen te fè yon moun vin nan kay la lòt jou a kòm yon pati nan etid la, epi li jis mete monitè li a sou aparèy chofaj dlo cho a, epi mwen te pran sant gaz. nan aparèy chofaj dlo cho a, ak asire w ase, Li te koule gaz epi mwen te ranje li.
[SPEAKER_11]: Mèsi.
[SPEAKER_09]: Lòt kesyon? pa timid.
[SPEAKER_10]: Se konsa, mwen te gen yon kesyon sou lè l sèvi avèk brûler yo tounen. Eske se paske ou pi lwen ak vantilasyon an gen anyen fè ak sa? li ale deyò kòm opoze a nan kay la?
[SPEAKER_09]: Devine mwen se ke li se, premye nan tout, ou se pi lwen lwen polyan yo, kidonk ou pa ap resevwa li dwat nan figi an. Ak dezyèm nan tout, lè w ap itilize yon vantilasyon ak yon kapo ki sou recho a, Lè sa a, li leve. Yo travay pi byen. Sa travay pi byen sou brûleurs dèyè yo.
[SPEAKER_01]: Lòt kesyon? Kesyon mwen an se, pa fè sa Se jis kantite recho gaz ke nou genyen toupatou, mwen vle di, mwen pa di sèlman Massachusetts, men toupatou. Li pi plis, li pi plis pase recho elektrik la. Se pa sa akoz pri a? Elektrisite pi chè pase gaz?
[SPEAKER_09]: èske w konnen ke pwobableman gen yon bagay fè ak li? Epitou, Men, se pa tout istwa a, pa vre? Paske ki lòt pati nan istwa a? Li te lou commercialisés. Mwen sonje lè mwen te fèk marye epi mwen t ap pale ak tout zanmi m yo e tout moun te tankou, o. Tout chèf yo t'ap soti epi yo t'ap di: oh, kwit manje ak gaz se pi bon anpil. Ak kiyès yo t ap peye yo? Asosyasyon gaz Ameriken an. Se konsa, gen nan kèk pwen ta ka gen yon pwen pri. Mwen pa ka di ke mwen vrèman remake yon diferans ak recho elektrik mwen an kont recho a gaz mwen an ak kantite lajan ke li koute pou kouri recho a. Wi, men panse sa w ap sove nan bòdwo lopital la. Wi. Wi. Li ta ka nan yon pwen, men kounye a mwen panse ke yo ap vin pi efikas. Kòm mwen te di, mwen gen yon nouvo modèl, epi li pa fè sa, endiksyon se trè efikas, trè, trè efikas, epi ki sèvi ak vag elektwomayetik.
[SPEAKER_00]: Wi, mwen ta jis ajoute ke yon plat endiksyon tankou sa a se apeprè mwatye pri pou opere kòm yon recho elektrik tradisyonèl.
[SPEAKER_09]: Epi ou pa bezwen achte tout recho a. Ou ka jis achte brûler a sèl ke li gen nan ekspozisyon dwa la. Ak fason sa a ou kapab, li etonan konbyen lajan ou ka jwenn alantou pa itilize recho gaz ou. Wi. Lòt kesyon?
[SPEAKER_11]: Wi. oblije sèvi ak mikro la.
[SPEAKER_15]: Mwen panse ke li nan menm sans ak fado ekonomik la sou kominote koulè yo. Se konsa, ki jan gen nenpòt resous? Mwen konnen gen tankou yon pwogram ak vil Dorchester ak BU pou sante piblik tankou konbyen sa koute pou modènize soti nan recho a gaz nan recho elektrik? Èske ta gen nenpòt resous pou sa?
[SPEAKER_09]: Sa se yon kesyon ekselan. Mwen kwè ke gen yon pwogram gouvènman an, yon pwogram Massachusetts, Mass Save, $500 sou achte yon recho endiksyon oswa elektrik oswa endiksyon. OK. Wi. Se konsa, gen. Epi tou pou chanje nan yon ponp chalè, aktyèlman, si ou vle chanje fòm nan chofaj ou nan yon sèl elektrik. Genyen yon rabè la tou.
[SPEAKER_08]: Mèsi. Sa te yon bèl prezantasyon. Pou oumenm ak Brenda, èske w ka pale sou pwen pri pou endiksyon an ak kijan pwogram MassSave fonksyone? Se konsa, si ou vle jis achte li kareman oswa si ou vle ale nan MassSave.
[SPEAKER_00]: Mèsi. Wi, kidonk yon plat endiksyon pòtab tankou sa a se yon ti kras plis pase $ 100. Yon recho plen gwosè ak yon recho endiksyon pi chè pase yon recho estanda. Li ta ka $1,000 pi chè, men ak ranbousman an mas-save nan $500, Lè sa a, li nan $500 pi chè. Mwen te kwit sou yon plat endiksyon pòtab tankou sa a pou yon ane. Mwen detanzantan ta sèvi ak recho gaz mwen an kòm yon backup lè mwen te oblije sèvi ak brûler miltip, men mwen te kapab fè sa prèske sèlman pou yon ane. Oh, mwen te achte sa a sou Amazon, men mwen panse li trè disponib nan tankou Home Depot a oswa Best Buy a oswa regrèt, Best Buy a, bagay sa yo. Wi.
[SPEAKER_09]: Bon kesyon. Mèsi.
[SPEAKER_06]: Nou gen yon lòt kesyon. Wi. Ou oblije achte yon po espesyal pou kwit manje pou la?
[SPEAKER_09]: Sa se yon bon kesyon tou, e mwen sèten Brenda te kapab di w plis sou sa.
[SPEAKER_00]: Wi. Padon, mwen ta dwe jis rete kanpe. Se konsa, po yo dwe mayetik paske se konsa sa a travay se li kreye yon jaden mayetik ki chofe jis metal la nan po a. Se konsa, asye pur, fè jete, si ou gen seramik ak tankou metal andedan nan li, ki ta travay. Men, li pa ta travay ak kwiv oswa vè oswa bagay konsa. Men, fondamantalman, ou ka teste soti istansil ou. Si ou gen yon leman, jis teste istansil ou. Si li kole, Lè sa a, li pral travay.
[SPEAKER_09]: Se yon kesyon vrèman bon. Se poutèt sa nou aktyèlman te ale ak elektrik epi yo pa endiksyon paske mari m 'te tankou mwen pa pral bay moute sou po pi renmen m' yo ke nou te teste yo ak yon leman epi yo pa t 'mayetik konsa wi Oke, mèsi anpil mwen
[SPEAKER_15]: Mèsi, Dr Lundberg. Si ou vle aprann kijan pou sèvi ak yon recho endiksyon, Brenda pral jis sou epi montre w kouman pou itilize li.
[SPEAKER_13]: Wi, absoliman. Wi, nou fondamantalman mete li sou sit entènèt nou an, epi li louvri pou ou kominike avèk nou. Mwen pral ba ou sa pita.
[SPEAKER_07]: Absoliman. Wi, wi. Kòman sa ye? Gwo. Se konsa, se sa, se konsa ou travay ak USDA a, oswa se li?
[SPEAKER_14]: Wi, kisa m ap entèwonp? Mwen vle di, kisa ou pral fè? Tann, kisa? Epi li pa yon gwo zafè tou.
[SPEAKER_02]: Kòd QR la, èske nou gen kòd la tou? Wi, wi.
[SPEAKER_06]: Men, mwen ta renmen jwenn enfòmasyon sa yo, paske paran mwen gen gaz. Apre sa, mwen tankou, uh-uh.
[SPEAKER_02]: Se sa m ap di. Tankou, $ 100, menm si, men Lè sa a, ou gen fanmi. Ki jan ou pral jwenn gaz? Sa a se tankou reyèlman,
[SPEAKER_07]: Mwen espere ke ou mesye sipòte yon travay reyèl nan pwogrè.
[SPEAKER_02]: Mwen te vle tout moun fè bagay yo, ou konnen? Ak plis, tankou, mwen, tankou, mwen di tout moun.
[SPEAKER_06]: Mwen pa oblije ale. Wi, mwen konnen.
[SPEAKER_05]: Mwen renmen ou. Mwen renmen ou.
[SPEAKER_04]: Se konsa, mwen jis konekte pwen yo. Mwen di verite a.
[SPEAKER_07]: Mèsi.
[SPEAKER_06]: Wi.
[SPEAKER_04]: Wi.
[SPEAKER_05]: Ou mesye yo bèl.
[SPEAKER_02]: Mwen konnen se yon gwo vil.
[SPEAKER_06]: Wi.
[SPEAKER_07]: Paske mwen santi mwen tankou moun, lè yo di jis Siri, yo pa ale nan li.
[SPEAKER_06]: Men, si yo espesyalman nan direksyon yo, yo pral menm pale sou li.
[SPEAKER_07]: Paske ou konnen, li se plis nan yon bon zòn.
[SPEAKER_05]: Ou konnen, sa se yon bon mesaj voye bay piblik la an jeneral. Mwen ta renmen, men fanm an mwayèn ta mache sou mwen epi li di, ou konnen, nou gen Siri, nou sou li. 10 ane depi kounye a? Ti kras pa ti kras, paske moun pral kòmanse pale sou li, sitou tankou kounye a.
[SPEAKER_06]: Moun yo pral kòmanse pale sou li ane pwochèn. Nou pral gen plis moun. Se tout sa mwen genyen. Mwen jis memorize yon liy.