Valuing the Health Impacts of Pollution: Notes and Suggested Readings
The readings listed below are available from the EEPSEA Secretariat.
The notes provide an overview of each topic.
1. NOTES
Cost-Benefit Analysis and Valuation
The purpose of cost-benefit analysis (CBA) is to guide investment decisions.
If the costs of an investment exceed the benefits it produces, the investment
should not be undertaken. Environmental economics extends conventional
CBA to include environmental costs & benefits. In order to do so, these
costs and benefits need to be translated into units of measurement that
can be compared and added to conventional costs and benefits. Conventional
goods and services are traded in markets for observable prices. With the
appropriate adjustments to correct for defects in those markets, market
prices provide economic values. But environmental goods and services are
generally not traded in markets, so other methods are needed to estimate
their dollar values. This has given rise to a large literature on environmental
valuation.
An investment in pollution control should reduce the damage to health
caused by pollution. The damage avoided is thus one of the benefits of
the investment. (In most cases, health damages avoided would be only one
benefit; there may also be aesthetic improvements, increased income from
tourism, reduced damage to buildings, and so on. If so, these should also
be included in the CBA.)
One can imagine three uses to which a CBA, based on valuation of health
damages, might be put :
1. to assess the efficiency of a particular investment.
e.g. does a dollar invested in pollution prevention result in more than
a dollar of damages avoided?
2. to set priorities. The cost-benefit ratios for different pollution
prevention investments can be compared. If a dollar spent preventing air
pollution produces $1.20 worth of health benefits, while a dollar spent
to prevent water pollution produces $1.80 worth of benefits, then preventing
water pollution is clearly a better investment.
3. to design pricing policies. Say the application of a pesticide
that costs a dollar to produce results in 10 cents worth of health damages.
In a sense, the true cost of the pesticide is $1.10. The government might
impose a 10 cent tax so that pesticide users pay that full cost. Users
could then be expected to reduce their use of pesticide (by an amount that
reflects the degree to which their demand for pesticides is sensitive to
its price: the "price elasticity of demand").
Putting a dollar value on human life or health is often resisted, due to
moral reservations or doubts about the reliability of valuation methods.
This means that CBA is often politically unacceptable for making "yes or
no" decisions of type (a). Valuation of health damages is most likely to
be used in setting priorities.
Valuing Health Damages
This involves two steps: first, establishing a dose-response function
(How much illness does a given dose of pollution cause?) and second, valuing
the damage.
Dose-Response Functions
Establishing a dose-response function (DRF) requires measurement of
exposure and measurement of damage. Measurement of exposure may require
primary data collection. Often data are available about emissions from
a pollution source, but these emissions may be dispersed. People will also
be exposed in varying degrees depending on how much time they spend indoors,
whether they drink purified water, and so on. This means correlations of
emissions or even of ambient air quality with health are unlikely to be
fully reliable. DRFs are frequent nonlinear and/or discontinuous and may
involve thresholds below which there is no appreciable damage. Deriving
a function from only a few closely-spaced observations may therefore be
unreliable.
Measuring damage for the purpose of valuation requires a unit of measurement
amenable to a given valuation method. For example, number of work days
lost due to illness is amenable to valuation; direct physical measurements
like diminished breathing capacity are less so.
Establishing a relationship between exposure and damage requires the
analyst to control for various confounding factors which may also influence
health. Obvious ones include diet, age and smoking habits.
Valuation Methods
The readings in the first section describe many environmental valuation
methods, only a few of which are potentially applicable to health damages.
Those that are most applicable are:
1. productivity loss (e.g. workdays lost due to illness)
2. cost of medical expenditures
3. hedonic methods: These assess differences in the price of
housing in polluted or unpolluted areas, or the difference in wages between
hazardous and non-hazardous jobs. The difference gives an idea of the value
of damages avoided to those individuals (more precisely, their willingness
to pay to avoid damages). Differences in housing prices are likely to include
some non-health damages from pollution; wage differences are more closely
related to health alone.
4. contingent valuation method (CVM): This involves surveys (using
questionnaires or experiments) to find out how much people would be willing
to pay to avoid damages (WTP), or how much compensation they would require
to accept more damage (WTA).
Each of these methods has its pros and cons.
Workdays lost and medical expenditures involve thresholds:
individuals may suffer discomfort that is serious but not severe enough
to require medication or time off work. Other problems are:
-
Imputing wages for workdays lost from housework, or other non-cash labour;
-
Assigning an appropriate "shadow price" to wages when there are high levels
of unemployment;
-
Avoiding the implication that the lives or health of people who are poor,
very old, or very young, (as measured by their wages) are less valuable
than those of the rich.
In general, these methods are likely to give a lower bound or minimum value.
Hedonic methods require well-functioning markets for housing
or labour, with buyers and sellers who are well-informed about pollution
risks; and matching pairs of housing or jobs that are similar in all respects
except exposure to pollution.
CVM is a controversial method, subject to many biases. Some of
these include:
-
Strategic bias (respondents may indicate low or high willingness to pay
because they think the survey results will lead them to pay for a service
or for the government to provide one that it otherwise would not.)
-
Starting point bias occurs when the respondent's WTP is influenced by the
phrasing of the question or experiment (E.g. Would you be willing to pay
$1? $10?)
-
Hypothetical bias: Respondents find it difficult to answer questions like
"How much would you pay to be healthier?"
-
Very large differences have also been reported between WTP and WTA. At
a minimum, the choice of a WTP vs. WTA question should reflect the actual
situation.
Some of the biases in CVM can be reduced by specifying the attribute in
question very precisely; by pretesting the questionnaire; and by involving
a psychologist in the design of the survey. Some health CVM's require respondents
to maintain a diary, to provide an accurate record of their current health
to establish a DRF and against which alternative states of health could
be compared.
Sometimes more than one method is used, either to include all costs
(e.g. work days lost + medical costs) or to cross-check (comparing CVM
to other methods). Care is necessary to avoid double counting. Surveys
can sometimes be designed to provide data for more than one method.
Benefits Transfer
Careful data collection to establish dose-response functions and values
can be costly and time consuming. To reduce these costs, the "benefits
transfer" approach has sometimes been employed. This involves taking a
value from an existing study (most commonly done in the US, where the literature
is more abundant) and transferring it to a new context. This has been done
for both DRF's and values. Sometimes a correction factor is included (e.g.
reducing the value by the difference in per capita income).
Transfer of DRF's may not be valid if the local context contains factors
that would affect the function. (E.g. differences in baseline health or
nutrition may cause a given dose of pollution to produce more damage.)
Transfer of values may also neglect factors that would cause people to
value health differently. For example, the concept of what constitutes
full health may vary with culture, not only with income. In general, there
are numerous environmental factors specific to location, culture and so
on; these limit the reliability of the benefits transfer approach in assessing
environmental problems.
In spite of these limitations, the cost advantages of benefits transfer
will continue to encourage its use. Studies that compare original measurements
to estimates derived from benefits transfer would be a useful contribution.
David Glover
May 1995
2. SUGGESTED READINGS
A. Cost-Benefit Analysis and Valuation
Hanley, Nick & Clive L. Spash, Cost-Benefit Analysis and the
Environment, London: Edward Elgar,1993, (p. 1-52, 261-278)
Markandya, A., "The Value of the Environment: a State of the Art Survey",
in Markandya, A. & J. Richardson, The Earthscan Reader in Environmental
Economics, London: Earthscan, 1992, (p. 142-166)
Munasinghe, Mohan, Environmental Economics and Sustainable Development,
World Bank Environment Paper No.3, 1993
Pearce, David, Dale Whittington & S. Georgiou, "Economic Values
and the Environment in the Developing World", UNEP, October 1994 (draft)
Clunies-Ross, Tracey, "Taxing Nitrogen Fertilizers," The Ecologist,
Vol. 23, No. 1, January/February 1993
Pearce, David, & Anil Markandya, "Environmental Policy Benefits:
Monetary Valuation," Organisation for Economic Co-operation and Development,
1989, (p. 49-53)
B. Health & Pollution: General
Satterthwaite, David, "The Impact on Health of Urban Environments",
Environment
and Urbanization, Vol. 5, No. 2, October 1993
Scura, Louise F., "Assessing the Cost of Urban Pollution in the Latin
American Region: The Role of Economic Valuation," The World Bank, September
1991
Romieu, Isabelle, Henyk Weitzenfeld & Jacobo Finkelman, "Urban Air
Pollution in Latin America and the Caribbean: Health Perspectives",
World
Health Statistics Quarterly, 43, 1990
Rosen, Sherwin, "Valuing Health Risk," AEA Papers and Proceedings,
Vol. 74, No. 2, May 1981
C. Dose- Response Functions
"Dose-Response Functions and the Health Impacts of Air Pollution", The
World Bank, Environment Dissemination Notes, December 1994.
Shaw, Daigee, Tsu-Tan Fu, Jin-Tan Liu, Lung-An Li, Wen-Harn Pan, "Acute
Health Effects of Major Air Pollutants in Taiwan," Conference Paper: Institute
of Economics, Academia Sinica, Taipei, March 18-19, 1994
Schwartz, Joel, "Particulate Air Pollution and Daily Mortality: A Synthesis,
" Public Health Reviews, 1991/92; 19: 39-60
Chappie, Mike, & Lester Lave, "The Health Effects of Air Pollution:
A Reanalysis," Journal of Urban Economics 12, 1982, (p. 346-376)
Lave, Lester B. & Eugene P. Seskin, "An Analysis of the Association
Between U.S. Mortality and Air Pollution," Journal of the American Statistical
Association, Vol. 68 No. 342, June 1973
Gerking, Shelby, & William Schulze, "What Do We Know About Benefits
of Reduced Mortality from Air Pollution Control?", AEA Papers and Proceedings,
Vol. 71, No. 2, May 1981
Ostro, Bart D., "Air Pollution and Morbidity Revisited: A Specification
Test," Journal of Environmental Economics and Management, Vol. 14,
No. 1, 1983, (p. 87-88)
Ostro, Bart, "Estimating the Health Effects of Air Pollution: A Method
with an Application to Jakarta," The World Bank, Policy Research Working
Paper, WPS 1301, 1994
Castillejos, Margarita, et al, "Effects of Ambient Ozone on Respiratory
Function and Symptoms in Mexico City Schoolchildren," American Review
of Respiratory Diseases 145, 1992
de Motta, Seroa & Fernandez Mendes, "Health Costs Associated With
Air Pollution in Brazil," Applied Economic Research Institute, Rio de Janeiro,
April, Mimeo, 1993
D. Productivity Loss Method
Dwyer, Larry, "Environmental Policy and the Economic Value of Human
Life", Journal of Environmental Management, 22 (1986), (p. 229-243)
Cropper, M. L., "Measuring the Benefits from Reduced Morbidity,"
AEA
Papers and Proceedings, Vol. 71, No. 2, May 1981
E. Medical Expenditures Method
Ostro, Bart D., "The Effects of Air Pollution on Work Loss and Morbidity,"
Journal
of Environmental Economics and Management, Vol. 10, (p. 371-382)
F. Hedonic Methods
Murdoch, J. C. & M. A. Thayer, "Hedonic Price Estimation of Variable
Urban Air Quality", in Markandya, A. & J. Richardson,
The Earthscan
Reader in Environmental Economics, London: Earthscan, 1992, (p. 167-170)
Dunn, Johnathan, "Case Study: Air Pollution and Health in Russia", HIID,
1993.
Viscusi, W. Kip, "The Value of Risks to Life and Health,"
Journal
of Economic Literature, Vol. XXXI, December 1993, (p. 1912-1946)
Arnould, Richard J. & Len M. Nichols, "Wage-Risk Premiums and Workers'
Compensation: A Refinement of Estimates of Compensating Wage Differential,"
Journal
of Political Economy, 1983, Vol. 91, No. 2
Marin, Alan & George Psacharopoulos, "The Reward for Risk in the
Labor Market: Evidence from the United Kingdom and a Reconciliation with
Other Studies," Journal of Political Economy, 1982, Vol. 90, No.
41
G. Contingent Valuation Method
Arrow, Kenneth, Robert Solow, et al "Report of the NOAA Panel on Contingent
Valuation", Federal Register, Vol.58, No. 10, 15 January 1993
Whittington, Dale, et al, "Giving Respondents Time to Think in Contingent
Valuation Studies: A Developing Country Application", Journal of Environmental
Economics and Management 22, 1992, (p. 205-225)
Knetsch, Jack L., "Environmental Valuation: Some Practical Problems
of Wrong Questions and Misleading Answers", Simon Fraser University, September
1993.
Knetsch, Jack L., "Asking the Right Question: The Reference Point and
Measures of Welfare Change," Conference Paper: Institute of Economics,
Academia Sinica, Taipei, March 18-19, 1994
Jones-Lee, M.W., M. Hammerton, M, P. R. Philips, "The Value of Safety:
Results of A National Sample Survey," The Economic Journal, 95 (March
1985),( p. 49-72)
H. Combined Methods/Other Methods
Margulis, Sergio, "Back of the Envelope Estimates of Environmental Damage
Costs in Mexico", The World Bank, Mimeo, July 1994
Gerking, S. & L. Stanley, "An Economic Analysis of Air Pollution
and Health: the Case of St. Louis", in Markandya, A. & J. Richardson,
The
Earthscan Reader in Environmental Economics, London: Earthscan, 1992,
(p. 194-203)
Shin, Euisoon et al, Economic Valuation of Urban Environmental Problems
With Emphasis on Asia, The World Bank, Mimeo, January 28, 1992 (selected
chapters)
Harrington, Winston, Alan J. Krupnick, & Walter O. Spofford Jr.,
"The Economic Losses of a Waterborne Disease Outbreak", Journal of Urban
Economics 25, 1989, (p. 116-137)
Liu, Ben C. & Robert Anderson, "Estimating the Human Health Benefits
of Controlling Air Pollution," Conference Paper: Institute of Economics,
Academia Sinica, Taipei, March 18-19, 1994
Evans, J. S., et al, "Cross-Sectional Mortality Studies and Air Pollution
Risk Assessment", Environment International, Vol. 10, No. 1, 1984,
(pp.55-83)
Fisher, Ann, Lauraine G. Chestnut & Daniel M. Violette, "The Value
of Reducing Risks of Death: A Note on New Evidence," Journal of Policy
Analysis and Management, Vol. 8, No. 1, 1989, (p. 88-100)
Parikh, K. et al, "Valuing Health Impacts of Air Pollution in Chembur,
Bombay," Indira Ghandi Institute, Delhi, 1994
I. Benefits Transfer
Anna, Alberini, Krupnick Alan, Jin-Tan Liu, Daigee Shaw, Tsu-Tan Fu,
Maureen Cropper and Winston Harrington, "What is the Value of Reduced Morbidity
in Taiwan?" Conference Paper: Institute of Economics, Academia Sinica,
Taipei, March 18-19, 1994
Kwak, Seung-Jun and Russell Clifford, "A Cross-Cultural Application
of the Contingent Valuation Method: Exploring the Value of Drinking Water
Protection in Seoul, Korea," Conference Paper: Institute of Economics,
Academia Sinica, Taipei, March 18-19, 1994
Copyright 1997 © International Development
Research Centre, Ottawa, Canada
dglover@idrc.org.sg
| 15 May 1997
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