Professional Documents
Culture Documents
Mortality increment 33
Karunarathne, 2016
Evidence - The slow killers
• 6481 people in Sri Lanka have died from kidney diseases between 2016 to 2018
• 2,135 deaths in 2016
• 2,159 deaths in 2017
• 2,187 deaths in 2018
• 17,503 kidney disease cases reported from hospitals while 787 people had
undergone kidney transplants.
• 22,000 people have died from CKD over the past 2 decades in the NCP
Case histories
Lab experiments – animal testing
Available listings
WHO list of carcinogens
Proposition 65 – California
Chemicals known to cause cancer, birth defects or other reproductive
harm
Find the chemical list
Step 2 - Determine its precise relationship with the
incidence of disease
Dose-response function identifies relationship between level of
pollutant and degree of health effect (water quality and
diarrhoea)
e.g. x parts per 1000 , for y hours or z days per year causes p
number of cases.
Issues
Problems of precision of the relationships
Lack of this type of data in developing countries
Problems of use of relationships established in temperate contexts
Dose response function / Exposure response
Detailed information may be needed
Air pollution - not all pollutants are equally harmful.
Unpaid labour?
◦ Recommendations -54% of average wage rate
Leisure time?
◦ Recommendations - 43% of average wage rate
• Step 5 – put economic values on time and
resource taken up by the illness
Duration of illness 19 28 11
Q = f (L, K, E)
Supply
Consumer
surplus
Equilibrium E
price
Producer
surplus
B Demand
C
0 Equilibrium Quantity
quantity
Example – Pollution in lake which affects fishery
B
D
C
E
Q
• The cost of the deterioration in water quality is given
by
[CS1 – CS0] + {PS1 – PS0]
[A-(A + B + D)] + [B + C - (C + E)] -B –
D + B – E = -D – E
• Net loss of consumer surplus is equivalent to the area
D, while the net loss of producer surplus is equivalent
to the area E.
Some Sri Lankan estimates
Costs on fisheries
Harvest some 8-10 yrs ago
• Lower estimate – 100 kg per day
• Upper estimate – 200 per day
• Common types of fish - Etawalla, Balaya, Hurulla, lobster, crabs,
Meewetiya
Harvest now
• Lower estimate – 10 kg per day
• Upper estimate – 15 per day
• Common types of fish - Etawalla, Balaya, Hurulla
Lower Upper
estimate estimate