Arbeitspapier

Urban Water Disinfection and Mortality Decline in Developing Countries

Historically, improvements in the quality of municipal drinking water made important contributions to mortality decline in wealthy countries. However, water disinfection often does not produce equivalent benefits in developing countries today. We investigate this puzzle by analyzing an abrupt, large-scale municipal water disinfection program in Mexico in 1991 that increased the share of Mexico's population receiving chlorinated water from 55% to 85% within six months. We find that on average, the program was associated with a 37 to 48% decline in diarrheal disease deaths among children (over 23,000 averted deaths per year) and was highly cost-effective (about $1,310 per life year saved). However, we also find evidence that age (degradation) of water pipes and lack of complementary sanitation infrastructure play important roles in attenuating these benefits. Countervailing behavioral responses, although present, appear to be less important.

Sprache
Englisch

Erschienen in
Series: IZA Discussion Papers ; No. 10618

Klassifikation
Wirtschaft
Health: Government Policy; Regulation; Public Health
Public Goods
Demographic Trends, Macroeconomic Effects, and Forecasts
Thema
clean water
chlorination
child mortality
infectious disease
diarrhea
Mexico
cost-effectiveness
sanitation
behavioral responses

Ereignis
Geistige Schöpfung
(wer)
Bhalotra, Sonia R.
Diaz-Cayeros, Alberto
Miller, Grant
Miranda, Alfonso
Venkataramani, Atheendar
Ereignis
Veröffentlichung
(wer)
Institute of Labor Economics (IZA)
(wo)
Bonn
(wann)
2017

Handle
Letzte Aktualisierung
10.03.2025, 11:44 MEZ

Datenpartner

Dieses Objekt wird bereitgestellt von:
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Objekttyp

  • Arbeitspapier

Beteiligte

  • Bhalotra, Sonia R.
  • Diaz-Cayeros, Alberto
  • Miller, Grant
  • Miranda, Alfonso
  • Venkataramani, Atheendar
  • Institute of Labor Economics (IZA)

Entstanden

  • 2017

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