London School of Hygiene and Tropical Medicine, Department of Health Research Services, London, UK.
Environ Health. 2011 Jul 28;10:68. doi: 10.1186/1476-069X-10-68.
Cost-benefit analysis is a transparent tool to inform policy makers about the potential effect of regulatory interventions, nevertheless its use to evaluate clean-up interventions in polluted industrial sites is limited. The two industrial areas of Gela and Priolo in Italy were declared "at high risk of environmental crisis" in 1990. Since then little has been done to clean the polluted sites and reduce the health outcomes attributable to pollution exposure. This study, aims to quantify the monetary benefits resulting from clean-up interventions in the contaminated sites of Gela and Priolo.
A damage function approach was used to estimate the number of health outcomes attributable to industrial pollution exposure. Extensive one way analyses and probabilistic analyses were conducted to investigate the sensitivity of results to different model assumptions.
It has been estimated that, on average, 47 cases of premature death, 281 cases of cancer and 2,702 cases of non-cancer hospital admission could be avoided each year by removing environmental exposure in these two areas. Assuming a 20 year cessation lag and a 4% discount rate we calculate that the potential monetary benefit of removing industrial pollution is €3,592 million in Priolo and €6,639 million in Gela.
Given the annual number of health outcomes attributable to pollution exposure the effective clean-up of Gela and Priolo should be prioritised. This study suggests that clean-up policies costing up to €6,639 million in Gela and €3,592 million in Priolo would be cost beneficial. These two amounts are notably higher than the funds allocated thus far to clean up the two sites, €127.4 million in Gela and €774.5 million in Priolo, implying that further economic investments - even considerable ones - could still prove cost beneficial.
成本效益分析是一种透明的工具,可以为决策者提供有关监管干预潜在效果的信息,但它在评估污染工业场地清理干预措施方面的应用有限。意大利的杰拉和普里洛两个工业区于 1990 年被宣布为“存在环境危机的高风险地区”。从那时起,几乎没有采取任何措施来清理污染场地并减少因污染暴露而导致的健康后果。本研究旨在量化杰拉和普里洛污染场地清理干预措施所带来的货币收益。
采用损害函数方法来估计因工业污染暴露而导致的健康后果数量。进行了广泛的单因素分析和概率分析,以研究结果对不同模型假设的敏感性。
据估计,通过在这两个地区消除环境暴露,每年可避免平均 47 例过早死亡、281 例癌症和 2702 例非癌症住院治疗。假设 20 年的停止滞后和 4%的贴现率,我们计算出在普里洛消除工业污染的潜在货币收益为 35.92 亿欧元,在杰拉为 66.39 亿欧元。
鉴于因污染暴露而导致的健康后果数量,应优先考虑杰拉和普里洛的有效清理。本研究表明,在杰拉花费高达 66.39 亿欧元、在普里洛花费高达 35.92 亿欧元的清理政策将具有成本效益。这两个数额明显高于迄今为清理这两个场地分配的资金,在杰拉为 1.274 亿欧元,在普里洛为 7.745 亿欧元,这意味着需要进一步进行经济投资,即使是相当大的投资,仍可能证明具有成本效益。