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(Not so) gently down the stream: river pollution and health in Indonesia

Garg, Teevrat, Hamilton, Stuart E., Hochard, Jacob P. and Kresch, Evan Plous (2018) (Not so) gently down the stream: river pollution and health in Indonesia. Journal of Environmental Economics and Management, 92. pp. 35-53. ISSN 0095-0696

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Identification Number: 10.1016/j.jeem.2018.08.011


Waterborne diseases, often arising from freshwater pollution, are a leading cause of mortality in developing countries. However, data limitations inhibit our understanding of the extent of damage arising from freshwater pollution. We employ a novel hydrological approach combined with village census data to study the effect of upstream polluting behavior on downstream health in Indonesia. We find that upstream use of rivers for bathing and associated sanitary practices can explain as many as 7.5% of all diarrhea-related deaths annually. We also find suggestive evidence for differential avoidance behavior in response to different pollutants. Our approach relies on publicly available satellite data, open source hydrological models, and coarse village census data allowing us to estimate health externalities from river pollution in particularly vulnerable and data poor environments.

Item Type: Article
Official URL:
Additional Information: © 2018 Elsevier Inc.
Divisions: Grantham Research Institute
Subjects: G Geography. Anthropology. Recreation > GE Environmental Sciences
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Date Deposited: 23 Aug 2018 14:34
Last Modified: 15 May 2024 23:20
Projects: ES/K006576/1
Funders: Economic and Social Research Council

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