Can Property Values Capture Changes in Environmental Health Risks? Evidence from a Stated Preference Study in Italy and the United Kingdom

Risk Analysis ◽  
2014 ◽  
Vol 35 (3) ◽  
pp. 501-517 ◽  
Author(s):  
Dennis Guignet ◽  
Anna Alberini
Author(s):  
W. Kip Viscusi ◽  
Rachel Dalafave

Valuing the benefit of reduced exposures to environmental health risks requires assessment of the willingness to pay for the risk reduction. Usual measures typically estimate individual local rates of substitution between money and the reduced probability of the adverse health impact. Benefit-cost analyses then aggregate individuals’ willingness to pay to calculate society’s willingness to pay for the health risk reduction benefit. The theoretical basis for this approach is well established and is similar for mortality risks and health outcomes involving morbidity effects. Researchers have used both stated preference methods and revealed preference data that draw on values implicit in economic decisions. Continuing controversies with respect to valuation of environmental health impacts include the treatment of behavioral anomalies, such as the gap between willingness-to-pay and willingness-to-accept values, and the degree to which heterogeneity in values because of personal characteristics such as income and age should influence benefit values. A considerable literature exists on the value of a statistical life (VSL), the local tradeoff between fatality risk and money, which is used to value mortality risk reductions. Many VSL estimates use data from the United States for regulatory analyses of environmental policies, but several other countries have distinct valuation practices. There are empirical estimates of the benefits associated with reducing the risks of many environmental health effects, including cancer, respiratory diseases, gastrointestinal illnesses, and other health consequences that have morbidity effects.


2021 ◽  
Vol 07 (02) ◽  
pp. e69-e72
Author(s):  
Dinh Van Chi Mai ◽  
Alex Sagar ◽  
Oliver Claydon ◽  
Ji Young Park ◽  
Niteen Tapuria ◽  
...  

Abstract Introduction Concerns relating to coronavirus disease 2019 (COVID-19) and general anesthesia (GA) prompted our department to consider that open appendicectomy under spinal anesthesia (SA) avoids aerosolization from intubation and laparoscopy. While common in developing nations, it is unusual in the United Kingdom. We present the first United Kingdom case series and discuss its potential role during and after this pandemic. Methods We prospectively studied patients with appendicitis at a British district general hospital who were unsuitable for conservative management and consequently underwent open appendicectomy under SA. We also reviewed patient satisfaction after 30 days. This ran for 5 weeks from March 25th, 2020 until the surgical department reverted to the laparoscopic appendicectomy as the standard of care. Main outcomes were 30-day complication rates and patient satisfaction. Results None of the included seven patients were COVID positive. The majority (four-sevenths) had complicated appendicitis. There were no major adverse (Clavien-Dindo grade III to V) postoperative events. Two patients suffered minor postoperative complications. Two experienced intraoperative pain. Mean operative time was 44 minutes. Median length of stay and return to activity was 1 and 14 days, respectively. Although four stated preference in hindsight for GA, the majority (five-sevenths) were satisfied with the operative experience under SA. Discussion Although contraindications, risk of pain, and specific complications may be limiting, our series demonstrates open appendicectomy under SA to be safe and feasible in the United Kingdom. The technique could be a valuable contingency for COVID-suspected cases and patients with high-risk respiratory disease.


EcoHealth ◽  
2013 ◽  
Vol 10 (1) ◽  
pp. 9-20 ◽  
Author(s):  
Courtney Maloof Gallaher ◽  
Dennis Mwaniki ◽  
Mary Njenga ◽  
Nancy K. Karanja ◽  
Antoinette M. G. A. WinklerPrins

Risk Analysis ◽  
2018 ◽  
Vol 39 (2) ◽  
pp. 439-461 ◽  
Author(s):  
Sander C. S. Clahsen ◽  
Irene van Kamp ◽  
Betty C. Hakkert ◽  
Theo G. Vermeire ◽  
Aldert H. Piersma ◽  
...  

Author(s):  
Norah MacKendrick

This chapter reveals how the environmental health movement came together to call for a broad application of a strong precautionary principle in environmental regulation, and worked hard to lobby for global and domestic policy change. As the movement presented evidence of widespread human exposure to environmental chemicals, it faced the question of how to help people understand how to contend with this exposure. Precautionary consumption was the answer. Organizations circulated a message that gendered environmental health risks in a way that understands women’s bodies as the primary pathway through which contamination enters fetal and infant bodies. Specifically, it is women’s domestic labor that provides a temporary solution to prevent contamination. Thus, this chapter tells the story of how the environmental health movement came to take a personalized and gendered approach, and why the movement is a significant part of the story behind the rise of precautionary consumption.


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