Guerriero Carla, Cairns John
London School of Hygiene and Tropical Medicine, London, UK.
Environ Health. 2009 Jun 24;8:28. doi: 10.1186/1476-069X-8-28.
Evaluating the economic benefit of reducing negative health outcomes resulting from waste management is of pivotal importance for designing an effective waste policy that takes into account the health consequences for the populations exposed to environmental hazards. Despite the high level of Italian and international media interest in the problem of hazardous waste in Campania little has been done to reclaim the land and the waterways contaminated by hazardous waste.
This study aims to reduce the uncertainty about health damage due to waste exposure by providing for the first time a monetary valuation of health benefits arising from the reclamation of hazardous waste dumps in Campania.
First the criteria by which the landfills in the Campania region, in particular in the two provinces of Naples and Caserta, have been classified are described. Then, the annual cases of premature death and fatal cases of cancers attributable to waste exposure are quantified. Finally, the present value of the health benefits from the reclamation of polluted land is estimated for each of the health outcomes (premature mortality, fatal cancer and premature mortality adjusted for the cancer premium). Due to the uncertainty about the time frame of the benefits arising from reclamation, the latency of the effects of toxic waste on human health and the lack of context specific estimates of the Value of Preventing a Fatality (VPF), extensive sensitivity analyses are performed.
There are estimated to be 848 cases of premature mortality and 403 cases of fatal cancer per year as a consequence of exposure to toxic waste. The present value of the benefit of reducing the number of waste associated deaths after adjusting for a cancer premium is euro11.6 billion. This value ranges from euro5.4 to euro20.0 billion assuming a time frame for benefits of 10 and 50 years respectively.
This study suggests that there is a strong economic argument for both reclaiming the land contaminated with hazardous waste in the two provinces of Naples and Caserta and increasing the control of the territory in order to avoid the creation of new illegal dump sites.
评估减少废物管理产生的负面健康后果的经济效益,对于设计一项考虑到暴露于环境危害中的人群健康后果的有效废物政策至关重要。尽管意大利和国际媒体对坎帕尼亚地区危险废物问题高度关注,但在修复被危险废物污染的土地和水道方面几乎没有采取什么行动。
本研究旨在通过首次对坎帕尼亚地区危险废物填埋场修复所产生的健康效益进行货币估值,来减少因废物暴露导致的健康损害的不确定性。
首先,描述了坎帕尼亚地区,特别是那不勒斯和卡塞塔两省的垃圾填埋场的分类标准。然后,对归因于废物暴露的过早死亡年度病例数和癌症死亡病例数进行量化。最后,针对每种健康结果(过早死亡、致命癌症以及根据癌症溢价调整后的过早死亡),估算修复污染土地所带来的健康效益的现值。由于修复所产生效益的时间框架存在不确定性、有毒废物对人类健康影响的潜伏期以及缺乏针对预防死亡价值(VPF)的具体背景估计,因此进行了广泛的敏感性分析。
据估计,每年因接触有毒废物导致848例过早死亡和403例致命癌症。在考虑癌症溢价后,减少与废物相关死亡人数的效益现值为116亿欧元。假设效益的时间框架分别为10年和50年,该值在54亿至200亿欧元之间。
本研究表明,在那不勒斯和卡塞塔两省修复被危险废物污染的土地以及加强对该地区的管控以避免产生新的非法垃圾填埋场,具有强有力的经济依据。