Cost-effectiveness as a factor in cancer risk management

Travis, Curtis C.; Pack, Sarah; Fisher, Ann

doi:10.1016/0160-4120(87)90008-0

Cited by 9 publications

(3 citation statements)

References 8 publications

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“…While EPA's figures compare favorably with higher-priced environmental risks (Travis et al, 1987), whether they do so with the closely related health risks of smoking is questionable. EPA has recognized this in conducting cost-effectiveness evaluations of its proposed testing, mitigation, and new construction strategies.…”

Section: Figmentioning

confidence: 99%

“…These have been based on the constant risk per MLM previously discussed and thus tend to overestimate near-term benefits. While EPA's figures compare favorably with higher-priced environmental risks (Travis et al, 1987), whether they do so with the closely related health risks of smoking is questionable. Unfortunately, there are no national scale estimates of the cost-effectiveness of antismoking policies.…”

Section: Figmentioning

confidence: 99%

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Modeling the Potential Impacts of Different Radon Policies for the U.S. Housing Stock

Peterson

Ritchie

1995

Indoor Air

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According to the Environmental Protection Agency (EPA) and other public health agencies in the United States, radon may be the leading cause (along with passive smoking) of lung cancer deaths among nonsmokers. Radon is estimated to be the second leading cause of lung cancer death in smokers behind smoking‐related lung cancer. EPA estimates that 7,000 to 30,000 lung cancer deaths each year are due to radon exposure. (It is implied that radon‐related lung cancer deaths can be prevented by reducing radon levels below EPA's guideline levels.) Current EPA radon policy is based on a strategy of education, the transfer of testing and remediation technologies to the public and private sectors, and recently proposed radon‐resistant construction standards for new homes. This paper models the effectiveness of current, proposed, and alternative policies for reducing radon risks in U.S. residential construction. The results of our analysis suggest that EPA's projections of 2,200 “lives saved annually” as a result of its current action level of 4 pCi/l will not be achieved with its current policy in the near future. Overall, the response of radon‐related mortality to most policy options is delayed and flat due in pan to the large number of houses with low radon levels and the long latency period between radon exposure and the development of cancer. The modeling results suggest that more aggressive smoking reduction programs may yield greater benefits in overall lung cancer mortality (but not reduced radon exposure) than most radon‐related policies.

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Section: Figmentioning

confidence: 99%

Section: Figmentioning

confidence: 99%

Modeling the Potential Impacts of Different Radon Policies for the U.S. Housing Stock

Peterson

Ritchie

1995

Indoor Air

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“…The estimated costs of programs to prevent and treat coronary heart disease rarely exceed $100,000 per life year saved (41). Many occupational and environ mental health regulations have cost-effectiveness ratios that exceed $100,000 per life year saved, although such rules are coming under increasing scrutiny by economists in the federal government (103).…”

Section: Cost -Effectiveness Comparisons Of Traffic Safety Policiesmentioning

confidence: 99%