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1.
J Health Econ ; 79: 102511, 2021 09.
Artigo em Inglês | MEDLINE | ID: mdl-34365126

RESUMO

Conventional wisdom suggests that marginal damages from particulate matter pollution are high in less-developed countries because they are highly polluted. Using administrative data on the universe of births and deaths, we explore birthweight and mortality effects of gestational particulate matter exposure in high-pollution yet high-income Hong Kong. The marginal effects of particulates on birthweight are large but we fail to detect an effect on neonatal mortality. We interpret our stark mortality results in a comparative analysis of pollution-mortality relationships across studies. We provide early evidence that marginal mortality damages from pollution are high in less-developed countries because they are less developed, not because they are more polluted.


Assuntos
Poluentes Atmosféricos , Poluição do Ar , Poluição do Ar/efeitos adversos , Países Desenvolvidos , Hong Kong/epidemiologia , Humanos , Recém-Nascido , Material Particulado/efeitos adversos , Material Particulado/análise
3.
Science ; 369(6503): 575-578, 2020 07 31.
Artigo em Inglês | MEDLINE | ID: mdl-32732425

RESUMO

Air pollution at any given time is unequally distributed across locations. Average concentrations of fine particulate matter smaller than 2.5 micrometers in diameter (PM2.5) have fallen over time. However, we do not know how the spatial distribution of PM2.5 has evolved. Here, we provide early evidence. We combine 36 years of PM2.5 concentrations measured over ~8.6 million grid cells with geographic, economic, and demographic data from ~65,000 U.S. census tracts. We show that differences in PM2.5 between more and less polluted areas declined substantially between 1981 and 2016. However, the most polluted census tracts in 1981 remained the most polluted in 2016. The least polluted census tracts in 1981 remained the least polluted in 2016. The most exposed subpopulations in 1981 remained the most exposed in 2016. Overall, absolute disparities have fallen, but relative disparities persist.


Assuntos
Poluentes Atmosféricos/análise , Poluição do Ar/análise , Exposição Ambiental , Material Particulado/análise , Humanos , Estados Unidos
4.
Am J Epidemiol ; 176 Suppl 7: S114-22, 2012 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-23035135

RESUMO

Recent research exploring associations between environmental factors and influenza outcomes has devoted substantial attention to the role of absolute humidity. However, the existing literature provides very little quantitative epidemiologic evidence on the relations between absolute humidity and other weather variables and influenza outcomes in human populations. In the present study, the authors helped fill this gap by analyzing longitudinal weather and influenza mortality data, observed every month between January 1973 and December 2002, for each of 359 urban US counties. A flexible regression model was used to simultaneously explore fully nonlinear relations between absolute humidity and influenza outcomes and temperature and influenza outcomes. Results indicated that absolute humidity was an especially critical determinant of observed human influenza mortality, even after controlling for temperature. There were important nonlinear relations; humidity levels below approximately 6 g of water vapor per kilogram of air were associated with increases in influenza mortality. Model predictions suggested that approximately half of the average seasonal differences in US influenza mortality can be explained by seasonal differences in absolute humidity alone. Temperature modestly influenced influenza mortality as well, although results were less robust.


Assuntos
Umidade/efeitos adversos , Influenza Humana/mortalidade , Temperatura , Humanos , Estudos Longitudinais , Modelos Estatísticos , Análise de Regressão , Estações do Ano , Estados Unidos/epidemiologia
5.
J Health Econ ; 30(5): 987-99, 2011 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-21741102

RESUMO

School buses contribute disproportionately to ambient air quality, pollute near schools and residential areas, and their emissions collect within passenger cabins. This paper examines the impact of school bus emissions reductions programs on health outcomes. A key contribution relative to the broader literature is that we examine localized pollution reduction programs at a fine level of aggregation. We find that school bus retrofits induced reductions in bronchitis, asthma, and pneumonia incidence for at-risk populations. Back of the envelope calculations suggest conservative benefit-cost ratios between 7:1 and 16:1.


Assuntos
Poluição do Ar/prevenção & controle , Asma/epidemiologia , Bronquite/epidemiologia , Veículos Automotores/normas , Pneumonia/epidemiologia , Instituições Acadêmicas , Emissões de Veículos/prevenção & controle , Adulto , Poluição do Ar/efeitos adversos , Asma/prevenção & controle , Bronquite/prevenção & controle , Criança , Análise Custo-Benefício , Humanos , Pneumonia/prevenção & controle , Avaliação de Programas e Projetos de Saúde/economia , Medição de Risco , Estados Unidos/epidemiologia
6.
J Health Econ ; 29(5): 674-85, 2010 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-20609487

RESUMO

The conventional economic wisdom is that improving consumer information will enhance welfare. Yet, some scientists speculate that the Food and Drug Administration's prominent mercury in fish advisory may have harmed public health. Lower mercury intakes reduce neurological toxicity risks. However, since seafood is the predominant dietary source of healthful omega-3 fatty acids, reduced fish consumption may have significant offsetting health impacts. We explore this risk trade-off using a rich panel of household-level seafood consumption data. To control for confounding factors, we use a non-parametric changes-in-changes approach. We find strong evidence that while the advisory reduced mercury loadings, it did so at the expense of substantial reductions in healthful omega-3s. We find this response pattern even for consumers with low fish consumption. Using advisory response patterns as inputs into a prominent risk assessment model, the central estimate is that net benefits from the advisory were negative.


Assuntos
Ácidos Graxos Ômega-3/administração & dosagem , Contaminação de Alimentos , Nível de Saúde , Mercúrio/análise , Prática de Saúde Pública , Alimentos Marinhos/análise , Dieta , Humanos , Disseminação de Informação , Mercúrio/administração & dosagem , Medição de Risco , Estados Unidos , United States Food and Drug Administration
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