A man walks in front of a smokey brick kiln.

Stanford Impact Labs:Clearing the air

An epidemiologist is on a mission to reduce pollution where past efforts have failed—and end an environmental health nightmare.

By Rob Jordan

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A man walks in front of a brick kiln outside Bangladesh. Photo: @navaism

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Across South Asia, coal-burning brick kilns ring many cities, together pumping out as much carbon dioxide as the entire U.S. passenger car fleet, poisoning the air that 2 billion people breathe, and causing more than 50,000 premature deaths every year.

Nowhere is the crisis more acute than Bangladesh, a country roughly the size of Illinois, with nearly 15 times its population. 

In Dhaka, these kilns account for as much as 40 percent of small airborne particulate matter, a key driver of pneumonia, and the reason residents’ life expectancy is almost nine years shorter than it would be otherwise. Lacking enforcement resources, government efforts to regulate the smoke-belching chimneys have largely failed. 

“My Bangladeshi colleagues tell me it’s painful to speak with their children about how they could see the blue sky when they were younger,” says Stanford epidemiologist Stephen Luby, who is the Lucy Becker Professor of Medicine. “Without practical, scalable solutions, that blue sky will never return.”

As it happens, Luby has one.

Stephen Luby working in his office. Photo: Jess Alvarenga

After decades of work on a range of health issues in South Asia, Luby knew he had to tackle brick kilns head-on. His breakthrough wasn’t built on high-tech interventions or expensive infrastructure. Instead, it came from understanding the constraints and incentives of kiln operators. 

In 2021, Luby received a two-year $500,000 grant from Stanford Impact Labs. The grant allowed him and his project partners to implement a randomized controlled trial, which would generate evidence to motivate brick kiln owners, government agencies, and others to clean up their practices.

Luby’s team discovered that modest changes—stacking bricks less densely for better airflow and feeding coal continuously in smaller amounts—improved combustion efficiency. This reduced coal use by 23 percent, cut carbon dioxide emissions by 20 percent, and produced higher-quality bricks that sold for nearly 20 percent more, according to an upcoming study.

The success is grounded in what Luby considers a basic truth: The private sector is the planet’s largest polluter, so solving environmental crises requires working with industry.

Stephen Luby smiles
We can’t just rely on government mandates to force change.
We need to engage businesses as partners, understand their constraints, and offer solutions that align with their interests.”
Stephen Luby

Foreground: Stephen Luby. Photo: Jess Alvarenga. Background: Photo: @navaism

The intervention has gained traction rapidly. Improvements were so dramatic during the study that kiln owners assigned to the control group began quietly sending people to the intervention sites to learn about the techniques. 

After presenting early findings to the country’s Ministry of Environment, Forest, and Climate Change, Luby steeled himself for more of the skepticism government officials had expressed when he first went to them with his idea years earlier. 

“We have these big meetings, and people tell us how bad things are in Bangladesh,” the head of the agency said. “You have come with a solution.”

For Luby, the government’s pledge of support validated years of close collaboration with local researchers and business representatives. 

Since then, the changes have spread to more than 500 of Bangladesh’s approximately 7,000 brick kilns, and Luby’s work has drawn attention from surprising corners. A staff member in a U.S. senator’s office recently expressed interest.

“He really liked the notion that we could be working in settings and coming up with solutions that didn’t require big government or huge political consensus,” Luby says.

Luby sees more simple interventions on the horizon. With support from Stanford’s Sustainability Accelerator, his team is working with mechanical engineering students to develop an automatic coal feeder that can deliver fuel to brick kilns in a controlled and continuous manner, further improving efficiency. 

He’s also exploring alternative fuel sources, such as rice straw—a crop waste byproduct—and working with architects to design buildings that would use smaller, more efficient bricks that require less coal. In 2024, he became faculty director of the newly launched Stanford Center for Human and Planetary Health, which seeks to advance solutions that sustain nature and support human health.

“A lot of what we need to do to improve the world does not require cutting-edge technology,” Luby says. “It’s about understanding people’s realities and designing practical solutions that work for them. That’s how we create lasting change.”

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Luby is director of the Center for Human and Planetary Health and a senior fellow at the Stanford Woods Institute for the Environment and the Freeman Spogli Institute for International Studies. He’s also director of research at the Stanford Center for Innovation in Global Health. The Woods Institute provided early support for the brick kilns work through its Environmental Venture Projects grant program. 

An aerial of a brick kiln

Explore some of the improvements to brick production Luby has recommended in this traditional kiln outside Bangladesh. Photo: @navaism

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