Estimating the economic value of reducing health risks by improving
air quality in Mexico City
James Hammitt and Maria E. Ibarrarán
Environmental regulations aim at reducing mortality and morbidity
risks for the population. To determine if the benefits of regulations
exceed the costs, it is necessary to estimate the level of expenditure
society is willing to pay to prevent an expected fatality within
a time period, the so-called “value per statistical life.”
We report preliminary estimates of the value of reducing several
health effects (mortality, chronic bronchitis, cold) in the Mexico
City Metropolitan Area. Estimates were obtained using both contingent
valuation and hedonic wage methods. Data were collected by personal
interview of 1000 respondents in the metropolitan area, 40% in households
and 60% at the work place. The estimated value of a statistical
life in Mexico City ranges from US$150–500,000. These results
are consistent with the small number of estimates for developing
countries found in the literature.
This note is divided into three sections. The first one shows
preliminary results of using the contingent valuation method to
determine the value of a statistical life (VSL) for adults, the
value of a statistical case of chronic bronchitis, and the VSL for
children1. The second part shows preliminary results for the VSL
and the value of a statistical injury using the hedonic wage approach.
In both sections an econometric analysis is performed to determine
what individual characteristics help to explain willingness to pay
to reduce health risks. The final section offers some concluding
remarks.
1. Results from the Contingent Valuation Study
The main objective is to estimate the value of reducing health
risks by improving air quality in the Mexico City Metropolitan Area.
We use the contingent valuation (CV) method to find the willingness
to pay (WTP) of the individuals for risk reductions. WTP is the
amount of money that an average inhabitant will pay to reduce his
or her chance of dying in the next year by a specified amount. Dividing
the mean WTP by the average risk reduction gives the value per statistical
life (VSL), which is the total amount that the inhabitants would
be willing to pay to prevent one unidentified, random fatality in
the next year. A risk-risk trade-off is also used to test for consistency
between the estimated VSL and value per statistical case of bronchitis
(Viscusi, 1991). This question asks respondents the maximum risk
of an allergic fatal reaction to medicine they are willing to accept
to reduce the risk of getting chronic bronchitis.
The mean WTP to prevent a minor illness (cold) is US$28, the value
of a statistical case of chronic bronchitis is US$30,000 with a
WTP to reduce the risk of getting chronic bronchitis of US$106.
The mean WTP to reduce mortality risk for one year is US$181; dividing
this by the risk reduction, we obtained that the VSL in Mexico City
is US$500,000. This value is in the range of values estimated by
extrapolating from US estimates of VSL to Mexico by adjusting for
the average difference in income (Evans et al., 2002).
We analyze the main factors that help explain WTP to reduce cold,
chronic bronchitis, and adult and child mortality using separate
regressions in each case. The general model used for the econometric
analyses was:
LnWTP= ß0 + ß1 C + ß2 S + ß3
CP + e
where C are the control variables, S the perceived health variables
and CP the personal and economic characteristics of individuals.
e is the error term
We find that WTP to reduce health risk varies with individual
characteristics. To prevent mortality, results suggest WTP increases
with family income and is larger for males and younger respondents.
WTP to prevent a cold also increases with family income and youth,
and is larger for people with a chronic illness and high expenditures
on medicines and medical visits. WTP to prevent chronic bronchitis
increases with age for young people and decreases for older people.
VSL for children (both infants and teenagers) was higher than that
for adults. The VSL for children does not seem to differ between
younger and older children, and is estimated as about US$1 million.
WTP to reduce child mortality risk increases with the education
of the parents and decreases with parents’ age. It is larger
for single parents.
2. Results from the Hedonic Wage Study
We examine the relationship between wages and perceived occupational
health risks for blue-collar workers in Mexico. We estimate hedonic
wage functions to compare workers’ wages to their perceived
risks for fatal and non-fatal accidents.
We specified the traditional hedonic wage function as:
lnHWAGE= f(RISK, H, W, P) + u
where lnHWAGE is the natural logarithm of the ith worker´s
wage rate, RISK are the perceived risk variables, H describes human
capital variables, W are the work environment variables, P includes
personal characteristics variables, and u is a random error term
assumed to be independently and identically distributed across workers.
Results indicate that workers in relatively risky jobs receive
a compensating wage differential, after controlling for human capital,
work environment, and personal characteristics.
The estimated coefficients on the perceived fatal- and non-fatal-injury
risk variables are not statistically significant when both are included
in the regression model, because the two risks are highly correlated
across workers. To estimate the VSL and value per statistical injury,
we use the results of regression models using only the corresponding
risk variable. The estimated VSL is US$150,000 and value per non-fatal
injury is US$7,300. These estimates are likely to be biased upward,
because the additional wages compensate workers for both fatal and
non-fatal risks. The estimated VSL is toward the lower end of the
range extrapolated by Evans et al. (2002) and the value per non-fatal
injury is consistent with estimates for other countries and with
the cost of treatment estimated by Instituto Mexicano del Seguro
Social.
3. Final Remarks
To compare the health benefits of programs to reduce air pollution
in Mexico City with the costs of implementing these programs, it
is useful to have estimates of the monetary value of reductions
in health risk. By surveying Mexico City residents, we can obtain
direct estimates of the values they place on reduced health risk.
Such direct estimates may be more useful than estimates obtained
by extrapolation from other countries, because they account for
economic conditions, cultural factors, and preferences of the Mexican
people themselves. In future work, we hope to refine the preliminary
estimates presented here by critical evaluation and improvement
of the econometric models used.
Acknowledgements. This work is supported by the Integrated Program
on Air Pollution with funds from the Comisión Ambiental Metropolitana.
We thank Enrique Guillomen and Yatziri Zepeda for their fine work
as research assistants.
References
- Hammitt, J., Liu, Jin-Tan (1999). "Perceived Risk and Value
of Workplace Safety in a Developing Country" Journal
of Risk Research 2(3), 263-275.
- Hammitt, J., (2000a). “Valuing Effects of Air Pollution
in Mexico”, Massachusetts Institute of Technology.
- Hammitt, J. Zhou, Y., (2000b). “Economic Value of Reducing
Health Risks by Improving Air Quality in China”, Center
for Risk Analysis School of Public Health, Harvard University,
Boston.
- Mrozek, J.R. and L.O. Taylor, (2002). “What determines
the Value of Life? A Meta-Analysis”, Journal of Policy
Analysis and Management, Vol. 21, No. 2, 253-270.
- Viscusi, W. K., (1993). “The Value of Risks to life and
Health”, The Journal of Economic Literature, Vol.
XXXI, p. 1912-1946.
- Viscusi, W.K., Magat, W., Huber, J. (1991). “Pricing Enviromental
Health Risks: Survey Assessments of Risk- Risk an Risk- Dollar,
Trade- Offs for Chronic Bronchitis”, Journal of Environmental
Economics and Management, V. 21, p. 32-53, Academic Press,
E.U.
|