Showing posts with label Health. Show all posts
Showing posts with label Health. Show all posts

Friday, January 20, 2012

Health Impacts of Power-Exporting Plants in Northern Mexico

http://www.rff.org/Publications/Pages/PublicationDetails.aspx?PublicationID=21721
Abstract: In the past two decades, rapid population and economic growth on the U.S.–Mexico border has spurred a dramatic increase in electricity demand. In response, American energy multinationals have built power plants just south of the border that export most of their electricity to the United States. This development has stirred considerable controversy because these plants effectively skirt U.S. environmental air pollution regulations in a severely degraded international airshed. Yet to our knowledge, this concern has not been subjected to rigorous scrutiny. This paper uses a suite of air dispersion, health impacts, and valuation models to assess the human health damages in the United States and Mexico caused by air emissions from two power-exporting plants in Mexicali, Baja California. We find that these emissions have limited but nontrivial health impacts, mostly by exacerbating particulate pollution in the United States, and we value these damages at more than half a million dollars per year. These findings demonstrate that power-exporting plants can have cross-border health effects and bolster the case for systematically evaluating their environmental impacts.

The full paper is available free of charge at http://www.rff.org/RFF/Documents/RFF-DP-11-18-REV.pdf

Mean estimates of the annual value of health damages attributable  to Intergen emissions are $230,000 in the United States and $104,000 in Mexico. Mean estimates of annual damages attributable to Sempra emission are $160,000 in the United States and $72,000 in Mexico. The total value of annual health damages attributable to both plants is $566,000.

Health effects, concentration-response and valuation studies are summarized in Appendix tables. For Ozone costs of five separate health effects are estimated: 1) Respiratory Hospital Admissions, 2) Asthma Emergency Room Visits, 3) School Absence Days, 4) Minor Restricted Activity Days and 5) Short-term Mortality.  For particulates PM2.5  more effect costs are estimated including 1) Mortality, 2) Chronic Bronchitis, 3) Chronic bronchitis (CB) incidences are estimated annually for the age group 27 and over, 3) Nonfatal Heart Attacks, 4) Respiratory Hospital Admissions, 5) Cardiovascular Hospital Admissions, 6) Asthma Emergency Room Visits, 7) Acute Bronchitis in Children, 8) Upper Respiratory Symptoms in Children, 9) Lower Respiratory Symptoms in Children, 10) Asthma Exacerbations, 11) Work Loss Days, and 12) Minor Restricted Activity Days.

[The authors] use the VSL (value of a statistical life) estimate from Mrozek and Taylor (2002), which has a central value of $2.324 million. This estimate is quite conservative: it is at the low end of the values used in benefit-cost analysis. For example, 2009 U.S. EPA rules mandate that benefit-cost analyses use a VSL of $7.9 million, and 2009 U.S. Department of Transportation rules mandate a VSL of $6.0 million (Copeland 2010). Baseline incidence rates were obtained from the BenMap model used by U.S. EPA for regulatory analyses.

Chronic bronchitis (CB) incidences are estimated annually for the age group 27 and over. Baseline incidence and prevalence rates are from BenMap.  There are three valuation studies for chronic bronchitis. All three are from the BenMap model, and no specific studies are cited. The two cost-of- illness studies, one with a 3 percent discount rate and one with a 7 percent discount rate, are weighted by age within the 27-and-over age group. The other study is based on willingness to pay to avoid a case of pollution-related chronic bronchitis; this valuation does not vary within the 27-and-over age  group. Nonfatal heart attack (NFHA) incidences are estimated seasonally for the age group 18 and over. Baseline incidence rates are from BenMap. There are two NFHA valuation studies in TAF, both from BenMap with no specific study cited: one with a 3 percent discount rate, and one with a 7 percent discount rate. Both studies incorporate 10 years of medical costs and 5 years of wage costs.
by Allen Blackman, Santosh Chandru, Alberto Mendoza-Domínguez and Armistead G. Russell
Resources For the Future (RFF) www.RFF.org
RFF Discussion Paper 11-18; January, 2012

Sunday, January 1, 2012

The value of time and external benefits in bicycle appraisal

http://ideas.repec.org/p/hhs/ctswps/2011_022.html
Abstract: We estimate the value of time savings, different cycling environments and additional benefits in cost-benefit analysis of cycling investments. Cyclists’ value of travel time savings turns out to be high, considerably higher than the value of time savings on alternative modes. Cyclists also value other improvements highly, such as separated bicycle lanes. As to additional benefits of cycling improvements in the form of health and reduced car traffic, our results do not support the notion that these will be a significant part in a cost-benefit analysis. Bicyclists seem to take health largely into account when making their travel choices, implying that it would be double-counting to add total health benefits to the analysis once the consumer surplus has been correctly calculated. As to reductions in car traffic, our results indicate that the cross-elasticity between car and cycle is low, and hence benefits from traffic reductions will be small. However, the valuations of improved cycling speeds and comfort are so high that it seems likely that improvements for cyclists are cost-effective compared to many other types of investments, without having to invoke second-order, indirect effects. In other words, our results suggest that bicycle should be viewed as a competitive mode of travel and not primarily as a means to achieve improved health or reduced car traffic.
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The estimated values of cycling time on street are similar to the results of Wardman et al. (2007). They are also similar to the (implicit) values of time in the national transport model SAMPERS, which lie in the interval 10-20 EUR/h, depending on trip length and gender. Interestingly, the SAMPERS model indicates that the value of time is higher for women and longer trip distances, in contrast to what is found in the present study. The reason for the contrasting results is likely to be self-selection. The SAMPERS model is estimated on a sample representing the entire Swedish population, not just cyclists. This strengthens the hypothesis that the lower value of time for cyclists with long distances in our sample (comprising only cyclists) is due to self-selection.

Cycling on a separated bicycle path instead of on a street with mixed traffic is valued to 5.4 EUR/h (according to Model 2, evaluated at average sample income and baseline travel time below 40 minutes). Investment costs for bicycle paths vary widely, but a typical value could be 0.6 MEUR per km (City of Stockholm, 2002), (Hopkinson & Wardman, 1996). With typical assumptions, this implies that bicycle paths are socially profitable already at yearly average cycling volumes of a little less than 300 cyclists per day, which in urban contexts is very low. Major bicycle paths can easily have 3,000 cyclists per day, which would give an incredible benefit/cost ratio of around 13. Note, however, that this is excluding the opportunity cost value of land, which in urban contexts can be a considerable cost.
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The value of cycling time is considerably higher than the value of time on the alternative mode: street cycling time savings are valued almost twice as high as time savings on the alternative mode. A similar result was obtained by Wardman et al., where cycling time was valued about three times as much as time savings on the alternative mode. This is in line with the expectation that the direct utility of cycling is lower than for alternative modes.... The value of time on the alternative mode, averaged over travelers with long and short baseline cycling times, is similar to the value obtained in the Swedish Value of Time study (Börjesson & Eliasson, 2011), which is 6.8 EUR/h (for work trips with rail transit, which is the most relevant comparison for the present sample; bus values are lower and car values are higher). That the value of time on the alternative mode is similar to the average value of time for actual public transport users is interesting and non-trivial: it indicates that the difference in value of time between bicyclists and travelers with other modes is mainly due to differences in direct utility, and that the self-selection effect due to differences in resource value of time is comparatively small.
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Cycling has significant health effects, e.g. in the form of reduced risk for cardiovascular diseases, especially for groups with low or moderate levels of other exercise. If improvements of cycling possibilities increase the number of cyclists, beneficial health effects will most likely be achieved. Whether these health effects should be added to the CBA, however, depends on the extent that they are already factored in when people make their decision concerning how much to cycle. If, hypothetically, travelers do consider the health effects they will get from cycling and make an accurate judgment of them, then the health benefits will turn up as part of the consumer surplus – both as increased demand for cycling and as a lower value of cycling time – compared to a situation where travelers do not consider health effects. Adding health benefits to a CBA if cyclists already factor in the health effects they are getting will hence be double-counting. To what extent additional health benefits should be included in bicycle CBAs depends on four things: the extent to which cyclists get health benefits out of their cycling; the extent to which bicycle improvements increase cycling; substitution between cycling and other forms of exercise; and the extent to which cyclists take health effects into account when making their travel decisions....

First, we can note that cycling is an important exercise form for cyclists. For most respondents, cycling is their primary form of exercise: more than 60% of cyclists exercise less than 2 hours per week apart from cycling. Moreover, our data support the expectation that better cycling possibilities increase cycling.
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Cyclists are not (only) die-hard cyclists that choose the bicycle no matter what; the relative differences in travel costs and times between bicycle and alternative modes affect their choice. As noted above, the relatively moderate changes of travel times and costs in the choice experiment made 83% of cyclists choose the alternative mode at least once. One can reasonably assume that this argument works both ways, such that better cycling possibilities will entice some travelers to switch from other modes, and hence potentially lead to health benefits.

However, additional health benefits from increased cycling may to some extent be reduced by the fact that cycling is a substitute for other forms of exercise. Moreover, cyclists exercising more than four hours a week in addition to cycling get considerably less additional health effects out of their cycling. We can estimate the magnitude of these effects by noting that around 60% of the cyclists state that they would exercise more if they cycled less, or that they already exercise considerably in other forms (more than 4 hours a week). Older cyclists are overrepresented in this group, and since they are the ones who get the most health benefits out of cycling, the total potential health benefit is reduced by up to 60%, depending on the rate of substitution between cycling and other forms of exercise.

The most difficult question is to what extent health benefits are internalized, i.e. to what extent travelers take health benefits from cycling correctly into account when making their travel choices. To shed some light on this, we can note that 52% of the cyclists state that exercise is the most important reason to choose bicycle. The share increases to 61% for older cyclists (over 50 years of age). Clearly, a majority of cyclists take health benefits into account, although they may over- or underestimate these health benefits. Obviously, other cyclists may also consider health effects when choosing mode, even if exercise was not their most important reason. If there is a difference between the two groups regarding the extent to which they consider health effects, this should show up in the estimations as a lower value of bicycle time for the group that quote exercise as the most important reason to cycle. But as mentioned above, this is not the case: the values of bicycle time of the groups are not significantly different. Hence, there is no evidence that the group stating other reasons than exercise as the primary reason for cycling disregards the health effects.
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At least in public debate, bicycle improvements are often motivated by the need to reduce car traffic. There seem to be great expectations that improving cycling possibilities will entice car drivers to change to bicycle, thereby reducing congestion, emissions, noise etc. Reductions of external costs from car travel should be added to bicycle CBA. On the other hand, a significant share of such external costs is internalized through e.g. fuel taxes, and it is only the external part (i.e. the “non-internalized” share) that should be added to the CBA . Outside congested urban areas, external costs of private car traffic such as noise, emissions, accidents and road maintenance are almost entirely internalized through fuel taxes in Sweden (SIKA, 2006). Hence, the potential social benefits of reducing car traffic by cycle improvements are smaller than sometimes expected.

Also the cross-elasticity between car and bicycle determines the external benefits of cycle improvements. From our material, this cannot be estimated directly, but it is obvious that it cannot be large from one observation: the share of bicyclists quoting car as their second-best travel alternative is a mere 13%. This is consistent with several other studies that have shown that the cross-elasticity between public transit and bicycle is considerably higher than that between car and bicycle.

In summary, we conclude that bicycle improvements will most likely generate very limited social benefits from reduced car traffic. First, even if all “new” cyclists come from existing trips and merely switch mode, we should expect that only 10-15% f them change from car. Second, only the non-internalized part of external costs from traffic should be included in a CBA, and except for congestion, the internalization rate is high.

These conclusions apply to our specific context, of course. First, Stockholm has good supply of public transit and a high transit share, especially in the central parts, and this increases the share of people having transit as their second-best mode. Second, the rate of internalization of external effects from car traffic varies widely between countries.
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by Maria Börjesson 1 and Jonas Eliasson both of KTH, Royal Institute of Technology; CTS - Centre for Transport Studies Centrum för Transportstudier (CTS), Teknikringen 10, 100 44 Stockholm http://www.kth.se/abe/om_skolan/organisation/centra/cts
Working Paper Number 2011:22; Created December 13, 2011; 20 pages

Tuesday, December 27, 2011

Airports, Air Pollution, and Contemporaneous Health

http://papers.nber.org/papers/w17684
Abstract: Airports are some of the largest sources of air pollution in the United States. We demonstrate that daily airport runway congestion contributes significantly to local pollution levels and contemporaneous health of residents living nearby and downwind from airports. Our research design exploits the fact that network delays originating from large airports on the East Coast increase runway congestion in California, which in turn increases daily pollution levels around California airports. Using the component of California air pollution driven by airport congestion, we find that carbon monoxide (CO) leads to significant increases in hospitalization rates for asthma, respiratory, and heart related emergency room admissions that are an order of magnitude larger than conventional estimates: A one standard deviation increase in daily pollution levels leads to an additional $1 million in hospitalization costs for respiratory and heart related admissions for the 6 million individuals living within 10km (6.2 miles) of the 12 largest airports in California. While infants and the elderly are more sensitive to air pollution, we also find significant relationships for the adult population. The health impacts are driven by CO, not NO2 or O3, and occur at levels far below existing EPA mandates. Our results suggest there may be sizable morbidity benefits from lowering the existing CO standard.

by Wolfram Schlenker and W. Reed Walker
National Bureau of Economic Research (NBER) www.NBER.org
NBER Working Paper No. 17684; Issued in December 2011

Saturday, December 24, 2011

EPA Issues First National Standards for Mercury Pollution from Power Plants/ ‘mercury and air toxics standards’ meet 20-year old requirement to cut smokestack emissions

http://tinyurl.com/cpo5nkr
The U.S. Environmental Protection Agency (EPA) has issued the Mercury and Air Toxics Standards, the first national standards to protect American families from power plant emissions of mercury and toxic air pollution like arsenic, acid gas, nickel, selenium, and cyanide. The standards will slash emissions of these dangerous pollutants by relying on widely available, proven pollution controls that are already in use at more than half of the nation’s coal-fired power plants.

EPA estimates that the new safeguards will prevent as many as 11,000 premature deaths and 4,700 heart attacks a year. The standards will also help America’s children grow up healthier – preventing 130,000 cases of childhood asthma symptoms and about 6,300 fewer cases of acute bronchitis among children each year. 
 
"By cutting emissions that are linked to developmental disorders and respiratory illnesses like asthma, these standards represent a major victory for clean air and public health– and especially for the health of our children. With these standards that were two decades in the making, EPA is rounding out a year of incredible progress on clean air in America with another action that will benefit the American people for years to come," said EPA Administrator Lisa P. Jackson. "The Mercury and Air Toxics Standards will protect millions of families and children from harmful and costly air pollution and provide the American people with health benefits that far outweigh the costs of compliance."

“Since toxic air pollution from power plants can make people sick and cut lives short, the new Mercury and Air Toxics Standards are a huge victory for public health,” said Albert A. Rizzo, MD, national volunteer chair of the American Lung Association, and pulmonary and critical care physician in Newark, Delaware. “The Lung Association expects all oil and coal-fired power plants to act now to protect all Americans, especially our children, from the health risks imposed by these dangerous air pollutants.”

More than 20 years ago, a bipartisan Congress passed the 1990 Clean Air Act Amendments and mandated that EPA require control of toxic air pollutants including mercury. To meet this requirement, EPA worked extensively with stakeholders, including industry, to minimize cost and maximize flexibilities in these final standards. There were more than 900,000 public comments that helped inform the final standards being announced today. Part of this feedback encouraged EPA to ensure the standards focused on readily available and widely deployed pollution control technologies, that are not only manufactured by companies in the United States, but also support short-term and long-term jobs. EPA estimates that manufacturing, engineering, installing and maintaining the pollution controls to meet these standards will provide employment for thousands, potentially including 46,000 short-term construction jobs and 8,000 long-term utility jobs.

Power plants are the largest remaining source of several toxic air pollutants, including mercury, arsenic, cyanide, and a range of other dangerous pollutants, and are responsible for half of the mercury and over 75 percent of the acid gas emissions in the United States. Today, more than half of all coal-fired power plants already deploy pollution control technologies that will help them meet these achievable standards. Once final, these standards will level the playing field by ensuring the remaining plants – about 40 percent of all coal fired power plants - take similar steps to decrease dangerous pollutants.

As part of the commitment to maximize flexibilities under the law, the standards are accompanied by a Presidential Memorandum that directs EPA to use tools provided in the Clean Air Act to implement the Mercury and Air Toxics Standards in a cost-effective manner that ensures electric reliability. For example, under these standards, EPA is not only providing the standard three years for compliance, but also encouraging permitting authorities to make a fourth year broadly available for technology installations, and if still more time is needed, providing a well-defined pathway to address any localized reliability problems should they arise.

Mercury has been shown to harm the nervous systems of children exposed in the womb, impairing thinking, learning and early development, and other pollutants that will be reduced by these standards can cause cancer, premature death, heart disease, and asthma.

The Mercury and Air Toxics Standards, which are being issued in response to a court deadline, are in keeping with President Obama’s Executive Order on regulatory reform. They are based on the latest data and provide industry significant flexibility in implementation through a phased-in approach and use of already existing technologies.

The standards also ensure that public health and economic benefits far outweigh costs of implementation. EPA estimates that for every dollar spent to reduce pollution from power plants, the American public will see up to $9 in health benefits. The total health and economic benefits of this standard are estimated to be as much as $90 billion annually. 
 
The Mercury and Air Toxics Standards and the final Cross-State Air Pollution Rule, which was issued earlier this year, are the most significant steps to clean up pollution from power plant smokestacks since the Acid Rain Program of the 1990s.

Combined, the two rules are estimated to prevent up to 46,000 premature deaths, 540,000 asthma attacks among children, 24,500 emergency room visits and hospital admissions. The two programs are an investment in public health that will provide a total of up to $380 billion in return to American families in the form of longer, healthier lives and reduced health care costs. 

More information: http://www.epa.gov/mats/

The U.S. Environmental Protection Agency (EPA) www.EPA.gov 
Press Release dated December 21, 2011

Saturday, December 10, 2011

Does Spending More on Tobacco Control Programs Make Economic Sense? An Incremental Benefit-Cost Analysis Using Panel Data

http://onlinelibrary.wiley.com/doi/10.1111/j.1465-7287.2011.00302.x/abstract
Abstract: This paper presents a benefit-cost analysis of the ongoing, state-level tobacco prevention and control programs in the United States. Using state-level panel data for the years 1991–2007, the study applies several variants of econometric modeling approaches to estimate the state-level tobacco demand. The paper finds a statistically significant evidence of a sustained and steadily increasing long-run impact of the tobacco control program spending on cigarette demand in states. The study also shows that, if individual states follow the Best Practices funding guidelines, potential future annual benefits of the tobacco control program can be as high as 14–20 times the cost of program implementation.
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Unfortunately, says Chattopadhyay, funding for the programs has been declining steadily since about 2002. In 2010, states on average were spending 17 percent of the total investment recommended by the CDC for the programs. And in tough economic times, many states have turned to cigarette taxes to raise revenue.
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After accounting for multiple factors, the researchers determined that tobacco control programs do reduce the demand for cigarettes. It's a trend that grows over time, in part because it takes smokers time to quit and because the programs become more efficient at delivering their services.
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Unlike earlier studies, Chattopadhyay and Pieper even examined the effects of different state tobacco taxes, and how the differences might affect cigarette demand. Smokers in a state with a high tobacco tax could be more easily tempted to buy cigarettes if they share a border with a low-tax state, for instance. Tobacco taxes can range from less than 20 cents per pack in some states to nearly $5 in others.


by Sudip Cattopadhyay 1 and David R. Pieper 2
1. Department of Economics, San Francisco State University, 1600 Holloway Avenue, San Francisco, CA 94132. Phone +1 415 338 1447, Fax +1 415 338 1057, E-mail sudip@sfsu.edu
2. Department of Geography, University of California, Berkeley, Berkeley, CA 94720. E-mail davidpieper@berkeley.edu
Contemporary Economic Policy via Wiley Online Library Western Economic Association International
Early View (Online Version of Record published before inclusion in an issue); Article first published online: November 27, 2011
http://www.eurekalert.org/pub_releases/2011-11/sfsu-scs112111.php