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"We don’t have any food. They are going to take my kids! Can you help me?" The desperate plea of a mother came through my voicemail. It was dinner time; I had already left the office for the day. I had been working with this family for months to address several safety risk factors. It was a tough case, and my job as a Prevention Specialist with the Department of Social Services (DSS) was to keep this family safely intact. I felt the weight of this responsibility every day. I knew if I did not intervene, foster care would be imminent for the children. However, the call came during the few hours I slept between jobs. I made less than $30,000 per year at DSS and, to make ends meet, worked a second full-time job at a residential program for youth aging out of foster care.

Chronic obstructive pulmonary disease is a serious and growing health issue in Nepal, but targeting risk factors can reduce the disease burden.