Estimating the economic burden from illnesses associated with recreational coastal water pollution—a case study in Orange County, California

Dwight, Ryan H.; Fernández, Linda; Baker, Dean; Semenza, Jan C.; Olson, Betty H.

doi:10.1016/j.jenvman.2004.11.017

Cited by 70 publications

(75 citation statements)

References 29 publications

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“…For illness associated with recreational water, the popularity of swimming implies a large population of exposed people and a high potential economic cost of illness or beach closure. Dwight et al estimated that nearly 75 000 excess cases of illness were due to water pollution at just two beaches in Orange County, California [19], while an economic analysis of closures at a single Lake Michigan beach found a net economic loss of $1274-37 030 per day (depending on the method used to assign values for health and recreation costs) [20].…”

Section: Discussionmentioning

confidence: 99%

Direct healthcare costs of selected diseases primarily or partially transmitted by water

Collier¹,

et al. 2012

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SUMMARYDespite US sanitation advancements, millions of waterborne disease cases occur annually, although the precise burden of disease is not well quantified. Estimating the direct healthcare cost of specific infections would be useful in prioritizing waterborne disease prevention activities. Hospitalization and outpatient visit costs per case and total US hospitalization costs for ten waterborne diseases were calculated using large healthcare claims and hospital discharge databases. The five primarily waterborne diseases in this analysis (giardiasis, cryptosporidiosis, Legionnaires' disease, otitis externa, and non-tuberculous mycobacterial infection) were responsible for over 40 000 hospitalizations at a cost of $970 million per year, including at least $430 million in hospitalization costs for Medicaid and Medicare patients. An additional 50 000 hospitalizations for campylobacteriosis, salmonellosis, shigellosis, haemolytic uraemic syndrome, and toxoplasmosis cost $860 million annually ($390 million in payments for Medicaid and Medicare patients), a portion of which can be assumed to be due to waterborne transmission.

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Section: Discussionmentioning

confidence: 99%

Direct healthcare costs of selected diseases primarily or partially transmitted by water

Collier¹,

et al. 2012

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“…Because there is a lack of information on the costs of waterborne GI, Rabinovici et al This value does not include lost recreational values or the willingness-to-pay to avoid getting sick from swimming. We use the more conservative estimate of Dwight et al (8) to calculate the health costs of excess GI at LAOC beaches. However, we also provide more inclusive estimates of the cost of illness using Mauskopf and French's $280 willingnessto-pay value (39).…”

Section: Methodsmentioning

confidence: 99%

Regional Public Health Cost Estimates of Contaminated Coastal Waters: A Case Study of Gastroenteritis at Southern California Beaches

Given

Pendleton

Boehm

2006

Environ. Sci. Technol.

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We present estimates of annual public health impacts, both illnesses and cost of illness, attributable to excess gastrointestinal illnesses caused by swimming in contaminated coastal waters at beaches in southern California. Beachspecific enterococci densities are used as inputs to two epidemiological dose-response models to predict the risk of gastrointestinal illness at 28 beaches spanning 160 km of coastline in Los Angeles and Orange Counties. We use attendance data along with the health cost of gastrointestinal illness to estimate the number of illnesses among swimmers and their likely economic impact. We estimate that between 627,800 and 1,479,200 excess gastrointestinal illnesses occur at beaches in Los Angeles and Orange Counties each year. Using a conservative health cost of gastroenteritis, this corresponds to an annual economic loss of $21 or $51 million depending upon the underlying epidemiological model used (in year 2000 dollars). Results demonstrate that improving coastal water quality could result in a reduction of gastrointestinal illnesses locally and a concurrent savings in expenditures on related health care costs.

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“…Nunes and van den Bergh, 2004;McIntosh et al 2010). Based on Gaffield et al (2003) and Dwight et al (2005), the maximum human health damages are set at EUR 100,000 per year.…”

Section: Parameter Valuesmentioning

confidence: 99%

Marine invasive species in the Arctic

Fernández¹,

Kaiser²,

Vestergaard³

2014

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Estimating the economic burden from illnesses associated with recreational coastal water pollution—a case study in Orange County, California

Cited by 70 publications

References 29 publications

Direct healthcare costs of selected diseases primarily or partially transmitted by water

Direct healthcare costs of selected diseases primarily or partially transmitted by water

Regional Public Health Cost Estimates of Contaminated Coastal Waters: A Case Study of Gastroenteritis at Southern California Beaches

Marine invasive species in the Arctic

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