Publications, Theses, Popular Media, and other Disseminations

Popular Media

RESPIRE: Three documentaries filmed and produced by Gabriela Martínez, 2005.

BBC World Service program “Danger Fuels” is about the health and development implications surrounding household energy and household smoke in the developing world,  Mark Whitaker from Pennine Productions traveled to San Lorenzo, Guatemala  to produce and record the radio program. It originally aired Wednesday, June 13, 2007. Click here to listen.

The New Yorker article, “Hearth Surgery” by Burchard Bilger (Dec 21/28, 2009, pp 84-97), covered our research in highland Guatemala. The 3-pg section of the long article describing the writer’s visit to the San Lorenzo research site is available here.

Journal Articles
PDFs of all journal articles can be found at Kirk R. Smith’s publications page.

  1. Smith-Siversten T, Diaz E, Bruce N, Diaz A, Khalakdina A, Schei MA, McCracken J, Arana B, Klein R, Thompson L, Smith KR, Reducing indoor air pollution with a randomized intervention design – A presentation of the Stove Intervention Study in the Guatemalan Highlands, Nor J Epidemioli 14(2): 137-143, 2004.
  2. Smith KR, Bruce NG, Arana B, RESPIRE: the Guatemala Randomized Intervention Trial (Symposium MS3 at the ISEE/ISEA Annual Conference, Paris), Epidemiology 17(6) Suppl November, pp S44-46, 2006
  3. Díaz E, Smith-Sivertsen T, Pope D, Lie RT, Díaz A, McCracken J, Arana B Smith KR, Bruce N. Eye discomfort, headache and back pain among Mayan Guatemalan women taking part in a randomised stove intervention. J Epidemiology and Community Health, 61:74-79, 2007.
  4. Clark M, Paulson M, Smith KR, Canuz E, Simpson CD, Urinary methoxyphenol biomarkers and woodsmoke exposure: comparisons in rural Guatemala with personal CO and kitchen CO, levoglucosan, and PM2.5. Environ. Sci & Tech. 41(10): 3481-3487, 2007.
  5. Bruce N, Weber M, Arana B, Diaz A, Jenny A, Thompson L, McCracken J,Dherani D, Juarez D, Ordonez S, Klein R, Smith KR, 2007, Pneumonia case-finding in the Guatemala indoor air pollution trial (RESPIRE):  standardizing methods for resource-poor settings, Bull WHO, 85 (7): 535-544, 2007.
  6. McCracken JM, Smith KR, Mittleman M, Diaz A, Schwartz J, Chimney stoveintervention to reduce long-term woodsmoke exposure lowers blood pressure among Guatemalan women, Environ Health Perspect. 115 (7): 996-1001, 2007.
  7. Thompson L, Diaz J, Diaz A, Jenny A, Bruce N, Balmes JR. Nxwisen, ntzarrin or ntzolin? Mapping children’s respiratory symptoms among indigenous populations in Guatemala. Social Science and Medicine. 65(7):1337-50, 2007.
  8. Chowdhury Z, Edwards R, Johnson M, Shields KN, Allen T, Canuz E, Smith KR, An inexpensive light-scattering particle monitor: field validation, J Environmental Monitoring, 9, 1099–1106, 2007.
  9. Díaz E,  Bruce N, Pope D, Lie RT, Díaz A, Arana A, Smith KR, Smith-Sivertsen T, Lung function and symptoms among indigenous Mayan women exposed to high levels of indoor air pollution, Int J of Tuberculosis and Lung Disease 11(12):1372–1379, 2007.
  10. Dherani M., Pope D, Mascarenhas M, Smith KR, Weber M, Bruce N, Indoor air pollution from unprocessed solid fuel use and pneumonia risk in children aged under 5 years: A systematic review and meta-analysis, Bull WHO 86(5): 390-398 + supplementary material, 2008.
  11. Díaz E, Bruce N, Pope D, Lie RT, Díaz A, Smith KR, Smith-Sivertsen, T.,Self-rated health among Mayan women participating in a randomized intervention trial reducing indoor air pollution in Guatemala, BMC International Health and Human Rights, 8 (7), 2008.
  12. Ruiz-Mercado I, Lam NL, Canuz E, Davila G, Smith KR, Low-cost temperature loggers as stove use monitors (SUMs), Boiling Point 55: 16-19, 2008.
  13. Granderson J, Sandhu JS, Vasquez D, Ramirez E, Smith KR, Fuel use and design analysis of improved woodburning cookstoves in the Guatemalan Highlands, Biomass and Bioenergy 33: 306-315, 2009.
  14. McCracken, JM, Schwartz J, Bruce N, Mittleman M, Ryan LM, Smith KR, Combining Individual- and group-level exposure information: Child carbon monoxide in the Guatemala woodstove randomized control trial (RESPIRE), Epidemiology 20 (1): 127-136, 2009.
  15. Allen-Piccolo G, Rogers JV, Edwards R, Clark MC, Allen TT, Ruiz-Mercado I, Shields KN, Canuz E, Smith, KR, An Ultrasound Personal Locator for Time-Activity Assessment, International J of Occupational and Environ Health, 15 (2): 122-132, 2009.
  16. Smith-Sivertsen T, Diaz E, Pope D, Lie RT, Diaz A, McCracken JP, Bakke P, Arana B, Smith KR, Bruce N, Effect of reducing indoor air pollution on women’s respiratory symptoms and lung function. RESPIRE Guatemala randomized trial, Am J Epidemiology, 170(2): 211-220, 2009.
  17. Smith KR, McCracken JM, Thompson L, Edwards R, Shields KN, Canuz E, Bruce N, Personal child and mother carbon monoxide exposures and kitchen levels:  Methods and results from a randomized trial of woodfired chimney cookstoves in Guatemala (RESPIRE), J of Expos Sci and Environ Epi 20, 406–416, 2010.
  18. Northcross A, Chowdhury Z, McCracken J, Canuz E, Smith KR, Estimating personal PM2.5 exposures using CO measurements in Guatemalan households cooking with woodfuel, J of Environmental Monitoring 12: 873–878, 2010.
  19. Pope DP, Mishra V, Thompson T, Siddiqui AR, Rehfuess EA, Weber M, Bruce NG, Risk of low birth weight and stillbirth associated with indoor air pollution from solid fuel use in developing countries Epidemiol. Rev. 32: 70 – 81, 2010.
  20. Thompson LM, Clark M, Cadman B, Canuz E, Smith KR. Exposures to high levels of carbon monoxide from wood-fired temazcal (steam bath) use in highland Guatemala. International Journal of Occupational and Environmental Health 17(2): 103-112, 2011.
  21. Ruiz-Mercado I, Masera O, Zamora H, Smith KR, Adoption and sustained use of improved cookstoves, Energy Policy (webpublished April) 2011.
  22. Thompson LM, Bruce N, Eskenazi B, Diaz A, Pope D, Smith KR, Impact of Reduced Maternal Exposures to Woodsmoke from an Introduced Chimney Stove on Newborn Birth Weight in Rural Guatemala, Environ Health Perspect, (webpublished June) 2011.
  23. McCracken JM, Smith KR, Stone P, Diaz A, Arana B, Schwartz J, Intervention to lower household woodsmoke exposure in Guatemala reduces ST-segment depression on electrocardiograms Environ Health Perspect. (webpublished June) 2011.
  24. Lam N, Nicas M, Ruiz-Mercado I, Thompson LM, Romero C, Smith KR, Non-invasive measurement of carbon monoxide burden in Guatemalan children and adults following wood-fired temazcal (sauna-bath) use, J. Environ. Monit., 13 (8): 2172–2181, 2011.
  25. Smith KR, McCracken JM, Weber MW, Hubbard H, Jenny A, Thompson L, Balmes J, Diaz A, Arana B, Bruce N, RESPIRE: A Randomised Controlled Trial of the impact of reducing household air pollution on childhood pneumonia in Guatemala, the Lancet (in press), 2011
  26. Dix-Cooper L, Eskenazi B, Romero C, Balmes J, Smith KR, Neurodevelopmental performance among school age children in rural Guatemala is associated with prenatal and postnatal exposure to carbon monoxide, a marker for exposure to woodsmoke J of Neurotoxicology, forthcoming, 2011.


[four more submitted waiting journal review]

Doctoral Dissertations

  1. John P. McCracken, Cardio Symptoms, Child ALRI, and CO Modeling from the RESPIRE Project, PhD, Environmental Health Sciences and Environmental Epidemiology, Harvard University, 2007.
  2. Kyra S. Naumoff, Quantitative Metrics of Exposure and Health for Indoor Air Pollution from Household Biomass Fuels in Guatemala and India. PhD, Environmental Health Sciences, UC Berkeley, 2008
  3. Esperanza Díaz, Impact of reducing indoor air pollution on women’s health.  RESPIRE Guatemala ­ Randomised exposure study of pollution indoors and respiratory health, PhD, Public Health and Primary Health Care, University of Bergen, 2008.
  4. Lisa Thompson, Reduced Carbon Monoxide Exposures from Wood Fuel Use and Impact on Birth Weight and Anthropometric Growth Among a Cohort of Guatemalan Children Less Than 36 months of Age Participating in the RESPIRE Randomized Stove Intervention Trial, PhD, Environmental Health Sciences, UC Berkeley, 2008
  5. Ilse Ruiz-Mercado, The Stove Adoption Process: The Stove Adoption Process: Quantification Using Stove Use Monitors (SUMs) in Households Cooking with Fuelwood, Department of Civil and Environmental Engineering, UC Berkeley, 2011


Masters Theses and Maxwell Summer/GHE Masters papers

  1. Dix-Cooper, L (2010) “Chronic Prenatal Exposure to Carbon Monoxide in Woodsmoke and Children’s Neurodevelopment in Rural Guatemala: a Pilot Study,” MS, Global Health and Environment, UC Berkeley.
  2. Slowcombe, A (2010) “Coliform Bacteria in the Drinking Water of Highland Communities in Rural Guatemala,” MS, Global Health and Environment, UC Berkeley
  3. Diaz Artiga A, (2008) “Prediction of Early Childhood Stunting in Rural Guatemala,” MPH, University of Copenhagen.
  4. Bigham J (2007) “An Analysis of Climate and Topography and their Implications for Health Outcomes in San Lorenzo, Guatemala,” Maxwell Student Projects, Max-07-1, EHS, School of Public Health, University of California, Berkeley.
  5. Hopkins M (2007) “Spatial Analyses of Early Childhood Illness, San Marcos, Guatemala,” Maxwell Student Projects, Max-07-2, EHS, School of Public Health, University of California, Berkeley.
  6. Dauphine D. (2006) “Inter-Comparison of 10 different Air Pollution Measuring Devices,” Maxwell Student Projects, Max-06-1, EHS, School of Public Health, University of California, Berkeley.  Also MS, Global Health and Environment, 2008
  7. Granderson J and Sandhu JS (2005) “Efficiency & Design of Improved Woodburning Cookstoves in the Guatemalan Highlands,” Maxwell Student Projects, Max-05-1, EHS, School of Public Health, University of California, Berkeley.
  8. Stachel L, Dean R, (2006), “Factors Contributing to the Nutritional Status of Mothers and Young Children in Rural Guatemala,” Maxwell Student Projects, Max-05-2, EHS, School of Public Health, University of California, Berkeley.
  9. Thompson L, Clark M, Cadman B (2005) “Acute, High Level Carbon Monoxide Exposures from Temascal (Sauna Bath) Use A Self-monitoring Study among 72 Rural Guatemalan Households,” Maxwell Student Projects, Max-05-3, EHS, School of Public Health, University of California, Berkeley.
  10. Clark M, (2004), “Pilot Study of Woodsmoke Exposure Biomarkers (Methoxyphenols) in Urine, Maxwell Student Projects,” Max-04-1, EHS, School of Public Health, University of California, Berkeley.  Also MS in Global Health in Environment, 2005.
  11. Thompson L, Diaz J, (2004), “Pilot Study of Spirometry and Allergy Testing among Guatemalan Children,” Maxwell Student Projects, Max-04-2, EHS, School of Public Health, University of California, Berkeley.
  12. Rogers J, (2004), “Time-Activity Patterns in Children (3 to 7 years) Measured with the UCB Personal Locator in Guatemala.” Maxwell Student Projects, Max-04-3, EHS, School of Public Health, University of California, Berkeley.
  13. Cowlin SC, (2004), “Tracer Decay for Determining Kitchen Ventilation Rates in San Lorenzo, Guatemala,” Maxwell Student Projects, Max-04-4, EHS, School of Public Health, University of California, Berkeley.
  14. Thompson L, (2003), “Exposure Monitoring of Temascales in San Lorenzo,” Maxwell Student Projects, Max-03-1, EHS, School of Public Health, University of California, Berkeley
  15. Kuwabara Y, (2003), “Thermal Efficiency and Fuel Use of Plancha versus Open Fire Cookstoves in San Lorenzo,” Maxwell Student Projects, Max-03-2, EHS, School of Public Health, University of California, Berkeley.
  16. Naumoff K, Kaisel D, (2003), “Fuel Use Survey in San Lorenzo,” Maxwell Student Projects, Max-03-3, EHS, School of Public Health, University of California, Berkeley.





Conference papers and posters [incomplete]

  1. Bruce N, Smith-Sivertsen T, Diaz A, Schei M, Smith KR, Arana B, Khalakdina A, Pope D, Thompson L, Klein R, Prevention of burns among children in wood fuel using homes in rural Guatemala, Intern’l Society of Environmental Epidemiology, New York, 2004.
  2. Thompson LM, Smith KR, Diaz A, McCracken J, Edwards R, Bruce N, Khalakdina A, Arana B, Indoor air pollution in developing countries: Acute, severe carbon monoxide exposures among temescal (sauna bath) users in the western highlands of Guatemala, ibid.
  3. Smith-Sivertsen T, Bruce N, Diaz A, Schei MA, Pope D, Bakke PS, Ordoñez  S, Arana B, Khalakdina A, McCracken J, Smith KR, Klein R, Chronic airway symptoms and lung function among women in a rural community in Guatemala with high indoor air pollution levels ibid.
  4. Smith-Sivertsen T, Bruce N, Diaz A, Diaz E, Schei MA, Pope D, Khalakdina A, McCracken J, Smith KR, Arana B, Klein R, Eye discomfort, headache and back pain among women in Guatemala using open fires for cooking and space-heating ibid.
  5. Schei MA, Bruce N, Smith-Sivertsen T, Diaz A, Khalakdina A, McCracken J, rana B, Hessen JO, Smith KR, Risk Factors for Atopic Disease among the Mam Speaking Native-American People of Highland Guatemala ibid.
  6. McCracken J, Smith KR, Edwards ED, Canuz E, Improvements in Household PM1 in Guatemala Randomized Trial of Improved Stoves, Intern’l Soc. of Exposure Analysis, Philadelphia, 2004.
  7. Smith KR, Edwards ED, McCracken J, Allen T, Litton CD, Canuz E, The UCB article Monitor: Field Tests and Comparisons in Guatemala, ibid.
  8. Allen-Piccolo G, Edwards R, Smith KR, Allen T, Castro4E, Agustin4F, Diaz4A, The UCB Personal Locator: Field Tests and Comparisons in Guatemala, ibid.
  9. Herrington J, et al. Poster Improvements in Household PAH, Formaldehyde, and Ultrafine Particles in Guatemala Randomized Trial of Improved Stoves, ibid.
  10. McCracken JP, Díaz A, Arana B, Smith KR, Schwartz J. Improved biomass stove intervention reduces blood pressure among rural Guatemalan women, ISEE, Johannesburg, 2005.
  11. Smith-Sivertsen T, Bruce N, Pope D, Lie RT, Diaz A, McCracken J, Arana B, Jenny A, Khalakdina A, Diaz E, Klein RK, Smith KR. Indoor Air Pollution from Biomass fuel use and lung health in young Guatemalan Women: Preliminary analysis of a randomized control trial, ibid.
  12. Diaz E, Smith-Sivertsen T, Bruce N, Pope D, Lie RT, Diaz A, McCracken J, Arana B, Schei MA, Jenny A, Khalakdina A, Smith KR. Eye discomfort, headache, and back pain among Guatemalan Women after an randomized stove intervention trial, ibid.
  13. Thompson L, Bruce N, Diaz A, Arana B, Klein R, Jenny A, Smith KR. Low birth weight in rural Guatemala: Indoor air pollution as a contributing factor, ibid.
  14. McCracken J, Castro E, Diaz A, Hubbard A, Naumoff K, Jenny A, Smith KR. Personal CO Exposures Among Mothers and Infants in Highland Guatemala, ISEA, Tucson, Arizona, 2005
  15. Chowdhury Z, McCracken J, Castro E, Smith KR. Concentrations of Wintertime Atmospheric PM2.5 and CO in San Lorenzo, Guatemala”, ibid.
  16. Chowdhury Z, McCracken J, Castro E, Johnson RD, Edwards E, Allen T, Smith KR. Kitchen PM2.5 Concentrations Measured with an Inexpensive Data-logging Monitor in Highland Guatemala, ibid.
  17. Diaz JV, Basu C, Diaz A, Ratto J, Smith-Sivertsen T, Bruce NG, Solomon C, Balmes JR, Smith KR. Effects of wood smoke exposure on airway inflammation in rural Guatemalan women. American Thoracic Society,  San Diego, 2006.
  18. Kirk R. Smith, Nigel Bruce, Byron Arana, Alisa Jenny, Asheena Khalakdina, John McCracken, Anaite Diaz, Morten Schei, Sandy Gove.Conducting the first randomized control trial of acute lower respiratory infections and indoor air pollution: description of process and methods ISEE/ISEA Annual Conference, Paris, Epidemiology 17(6) S44 Suppl November, 2006.
  19. Kirk R. Smith; Nigel Bruce; Martin W. Weber; Alan Hubbard; Alisa Jenny; Mukesh Dherani; Rudinio Acevedo; Byron Arana. Impact of a Chimney Wood Stove on Risk of Pneumonia in Children Aged Less Than 18 Months in Rural Guatemala: Results from a Randomized, Controlled Trial, ibid., S45.
  20. Tone Smith-Sivertsen; Esperanza Diaz; Daniel Pope; Byron Arana; John McCracken; Alisa Jenny; Lisa Thompson; Robert Klein; Kirk R. Smith; Nigel G. Bruce. Impact of a Chimney Stove on Women’s Lung Health in a Rural Wood-using Community: Challenges in Assessment and Preliminary Results, ibid., S45.
  21. Lisa Thompson; Anaite Diaz; Alisa Jenny; Robert Klein; Michael Clark; Kirk R. Smith. Diarrhea, Birth Weight, Growth, and Mortality: Measuring the Impact of Social and Environmental Stressors on a Vulnerable Population, ibid., S46.
  22. John McCracken; Anaite Diaz ; Eduardo Castro; Rufus Edwards; Louise Ryan;
  23. Joel Schwartz; Zohir Chowdhury; Kirk R. Smith.Biomass Smoke Exposure Among Guatemalan Infants Participating in a Randomized Trial of Chimney Stoves, ibid., S35.
  24. Díaz E, Smith-Sivertsen T, Pope D, Díaz A, Arana B, Jenny A, Smith KR,Bruce N, Self Perceived Health After a Randomised Intervention Trial Reducing Indoor Air Pollution, ibid.
  25. Janet Diaz, Lisa Thompson, Anaite Diaz, Kirk Smith, and John R. Balmes. Nxwisen, Ntzarrin or Ntzolin?: Eliciting Terms for Wheeze and Other Respiratory Illness Symptoms through Focus Groups with Mam-Speaking Guatemalan Women, American Thoracic Society, San Francisco, 2007.
  26. Thompson L, Bruce N, Jenny A, Diaz A, Arana B, Klein R, Smith KR. (2007). Low birth weight among a cohort of Guatemalan children: indoor air pollution as a contributing factor. In Indoor air pollution from solid fuels and risk of low birth weight and stillbirth. Report from a symposium held at the Annual Conference of the ISEE, September 2005, Johannesburg. World Health Organization.
  27. Díaz E, Bruce N, Pope D, Lie RT, Díaz A, Arana B, McCracken J, Smith KR, Smith-Sivertsen T. Impact of an improved stove on women’s lung health in a rural wood-using community. RESPIRE Guatemala. Oral presentation. 15th Nordic congress of general Practice, Reykjavik June 2007.
  28. Jenny, AM McCracken, Romera C, Smith KR, Thompson L, Tager I, Balmes J. Atopy and respiratory symptoms among children in the western highlands of Guatemala ATS, Toronto, Ontario, 2008
  29. Bruce NG, Dherani MK, Weber MW, McCracken JM, Thompson L, Diaz A, Arana BA, Smith KR.  Reducing air pollution exposure from biomass fuel has more impact on severe than non-severe child pneumonia: findings from the RESPIRE (Guatemala) RCT.  (Abstract accepted for oral presentation) ISEE Dublin August 2009.





Dissemination in Guatemala [incomplete]

  1. March 2003, Guatemala City, Introduction to RESPIRE at the World Bank Conference, Integrantes del Equipo del Estudio de Intervencion Aleatoria: Estufas Mejoradas y Neumonia en Infantes, John McCracken and Anaite Diaz.
  2. April 2005, 12 communities in the San Lorenzo and Comitancillo Municipalities, Video and slide shows to the participants in RESPIRE about the main results.  Main presentations by Mam-speaking RESPIRE fieldworkers.
  3. Oct 13, 2006, Summary of RESPIRE and introduction to CRECER at University of San Carlos in San Marcos, Andy Kuster, Carolina Romero, Rudinio Acevedo, and Gilberto Davila.
  4. March 27, 2008, Comitancillo, Summary of RESPIRE and introduction to CRECER to personnel from local NGOs and the San Lorenzo and Comitancillo Health Centers, Kirk R. Smith and Carolina Romero
  5. Sept 5, 2008, Rosendal (Norway). There were approximately  30-40 people, most of them from Guatemala including both the Norwegian ambassador in Guatemala and the Guatemalan ambassador in Norway.  Esperanza Diaz presented the different parts of the study (children, women, older women), the results on smoke reduction, preliminary results on children’s health and more detailed results on women’s health.
  6. July 23, 2009, San Marcos.  A summary of RESPIRE and the main ALRI findings Present were 15 people from the San Marcos Municipality MOH office. Kirk R Smith, John McCracken, Carolina Romero, and Eduardo Canuz.
  7. October 6, 2009, A summary of RESPIRE and the main ALRI findings in San Lorenzo to the CRECER staff, several of whom where involved in RESPIRE, and the director and staff of the Ministry of Health Center in San Lorenzo, and local Peace Corps volunteer.
  8. August 16-20, 2010: Dissemination presentations in 12 communities around the project area.  With about 75% participation by our participating households, 10 presentations of the slide show and video were narrated entirely in Mam by our fieldworkers.  Two presentations were in Spanish; the one in San Lorenzo itself also included medical staff from the San Lorenzo and Comitancillo Health Centers.
  9. August 2, 2011: Presentations on RESPIRE/CRECER by Kirk R. Smith and John Balmes at the Center for Studies on Health of Universidad de Valle, Guatemala City, for faculty, students, and invited participants from the Ministries of Health and Environment and the US Embassy.
  10. August 1-7, 2011: International Summer Training Institute in Household Energy Research, Antigua and San Lorenzo.  Funded by CDC with ~20 participants from North America, Latin America, Europe, and South Asia, working in Central and South America, Southeast Africa, and South Asia.