Thettu Dosa, Madanapalle
Rollins School of Public Health
Pictured is the best restaurant within a 15-mile radius. This local icon makes dosas with the local specialty of eye-wateringly spicy peanut chutney and potato sabzi, every morning from 6 am until her batter runs out. She is chef, waiter, and hostess, remembering everyone’s order and the order in which everyone arrived, and gesturing with her ladle to sit. The blackened walls are a testament to the business she has run for over 20 years, in the same enclosure, using the same wood-burning stove. They also are a visual warning of the amount of smoke buildup over those 20 years, giving us a glimpse of what her lungs may look like. COPD rates are typically highest among cigarette smokers, and thereby men, but in communities like these, women are equally at risk, due to their long-term exposure, in enclosed spaces, to smoke from coal, gas, or wood-burning stoves.